Healthcare Provider Details

I. General information

NPI: 1053247429
Provider Name (Legal Business Name): TIGYER SPINE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7980 N MAIN ST
DAYTON OH
45415-2328
US

IV. Provider business mailing address

7980 N MAIN ST
DAYTON OH
45415-2328
US

V. Phone/Fax

Practice location:
  • Phone: 937-280-4988
  • Fax: 937-280-4990
Mailing address:
  • Phone: 937-280-4988
  • Fax: 937-280-4990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: LANCE TIGYER
Title or Position: OWNER
Credential: D.O.
Phone: 937-609-6232