Healthcare Provider Details

I. General information

NPI: 1083570832
Provider Name (Legal Business Name): TYLER SYKES DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 N MERIDIAN RD STE 150
KUNA ID
83634-1741
US

IV. Provider business mailing address

1025 N MERIDIAN RD STE 150
KUNA ID
83634-1741
US

V. Phone/Fax

Practice location:
  • Phone: 208-495-5559
  • Fax:
Mailing address:
  • Phone: 208-495-5559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. TYLER DAVID SYKES
Title or Position: DENTIST
Credential: DMD
Phone: 331-330-0805