Healthcare Provider Details

I. General information

NPI: 1124101134
Provider Name (Legal Business Name): TYLER KARLIN D.D.S., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 10/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2988 REDHAVEN WAY
HIGHLANDS RANCH CO
80126-5595
US

IV. Provider business mailing address

9305 DORCHESTER ST # 103
HIGHLANDS RANCH CO
80129-2526
US

V. Phone/Fax

Practice location:
  • Phone: 303-471-1098
  • Fax:
Mailing address:
  • Phone: 303-470-9488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number9146
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: