IndividualActive
Tyler Richards
NPI 1407679038 · General Practice Dentistry · Prescott, AZ
Tyler Richards is a General Practice Dentistry provider in Prescott, AZ (NPI 1407679038).
Provider details
- NPI number
- 1407679038
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- D012511 (AZ)
Practice location
3140 Stillwater Dr Ste B
Prescott, AZ 86305-7105
Phone: (801) 888-1163
Street-level locationGet directions
Mailing address
3140 Stillwater Dr Ste B
Prescott, AZ 86305-7105
Registry dates
- Enumerated
- 2024-11-04
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.