What is Tyler Stidham's NPI number?

Tyler Stidham's National Provider Identifier (NPI) is 1770272163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tyler Stidham's specialty?

Tyler Stidham is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Tyler Stidham located?

Tyler Stidham's practice location on file with NPPES is 516 Island View Dr, Fernandina Beach, FL 32034-0099.

What is Tyler Stidham's phone number?

The practice phone number listed in the NPPES registry for Tyler Stidham is (740) 935-4258.

Is Tyler Stidham's NPI active?

Yes — Tyler Stidham's NPI (1770272163) is active in the NPPES registry as of the last update on 2025-11-03.

IndividualActive

Tyler Stidham, DMD, MBA

NPI 1770272163 · Dentist · Fernandina Beach, FL

Tyler Stidham, DMD, MBA is a Dentist provider in Fernandina Beach, FL (NPI 1770272163).

Provider details

NPI number: 1770272163
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD, MBA
Sex: Male
Sole proprietor: Yes
License: 30.027614 (OH)

Specialties & taxonomies

DentistPrimary122300000XLicense DN29186 (FL)
Dental Providers
Dentist122300000XLicense 30.027614 (OH)
Dental Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

516 Island View Dr

Fernandina Beach, FL 32034-0099

Phone: (740) 935-4258

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address