Provider Demographics
NPI:1033405873
Name:TORRES, TYLER MAX (DDS)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:MAX
Last Name:TORRES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:368 E RIVERSIDE DR STE 6
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7278
Mailing Address - Country:US
Mailing Address - Phone:435-688-8827
Mailing Address - Fax:435-688-8826
Practice Address - Street 1:368 E RIVERSIDE DR STE 6
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790
Practice Address - Country:US
Practice Address - Phone:435-688-8827
Practice Address - Fax:435-688-8826
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT8638817-89031223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry