MEDICARE: TYLER ELWOOD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D011074	AZ
2	1223G0001X	General Practice Dentistry	12730935-9921	UT

General Provider Information

NPI Number	:	1073287132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER ELWOOD

Provider Business Mailing Address
First Line	:	8960 W POST RD UNIT 3054
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2461
Country	:	US
Telephone Number	:	801-792-8282
Fax Number	:

Provider Business Practice Location Address
First Line	:	8960 W POST RD UNIT 3054
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2461
Country	:	US
Telephone Number	:	801-792-8282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	04/12/2022

Similar Medicare Providers

1306186069 — THOMAS S. KINTONIS DDS
Practice Location Address:

2461 PROFESSIONAL CRT.
LAS VEGAS, NV
89128

Practice Phone: 702-360-4600
Practice Fax: 702-233-0092

1487155727 — LAURA MUNOZ-DIAZ
Practice Location Address:

2461 OLD FORGE LN APT 105
LAS VEGAS, NV
89121-1010

Practice Phone: 702-504-2188
Practice Fax:

1306471313 — DANIEL FLORES
Practice Location Address:

1619 MARION BENNET DR
LAS VEGAS, NV
89106-2461

Practice Phone: 702-542-0195
Practice Fax:

1578156295 — MAKENZIE BELTON CRDH
Practice Location Address:

2461 PROFESSIONAL CT
LAS VEGAS, NV
89128-0828

Practice Phone: 702-360-4600
Practice Fax:

1659077956 — HENDERSON AMBULATORY SURGERY CENTER FOR MINIMALLY INVASIVE PROCEDURES
Practice Location Address:

9120 W RUSSELL RD STE 100
LAS VEGAS, NV
89148-1229

Practice Phone: 702-476-9700
Practice Fax:

1427868801 — QUIJANO PANGAN PLLC
Practice Location Address:

8905 W POST RD STE 110
LAS VEGAS, NV
89148-2429

Practice Phone: 808-393-9283
Practice Fax:

Directions to “ TYLER ELWOOD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.