Dr Tyler Dale Hanks, DMD, MPH is a
Dentist - Pediatric Dentistry based in Millcreek, Utah. Dr Tyler Dale Hanks is licensed to practice in Utah (license number 11651266-9923) and his current practice location is
2435 E 3300 S, Suite 101, Millcreek, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 410-0165.
NPI number for Dr Tyler Dale Hanks is 1023545951 and his current mailing address is 2435 E 3300 S, Suite 101, Millcreek, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023545951.
Healthcare Provider's Profile
Full Name | Dr Tyler Dale Hanks |
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Gender | Male |
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Speciality | Dentist - Pediatric Dentistry |
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Location | 2435 E 3300 S, Millcreek, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023545951
- Provider Enumeration Date: 05/23/2017
- Last Update Date: 10/16/2020
Medical Identifiers
Medical identifiers for Dr Tyler Dale Hanks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023545951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0221X | Dentist - Pediatric Dentistry | D11034 (Oregon) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 11651266-9923 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tyler Dale Hanks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tyler Dale Hanks, DMD, MPH 2435 E 3300 S, Suite 101, Millcreek, UT 84109 Ph: (801) 410-0165 | Dr Tyler Dale Hanks, DMD, MPH 2435 E 3300 S, Suite 101, Millcreek, UT 84109 Ph: (801) 410-0165 |
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