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NPI Code Detail

MEDICARE: DR. TYLER SCOTT ANDERSON DDS

MEDICARE:  DR. TYLER SCOTT ANDERSON  DDS
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
11223G0001XGeneral Practice DentistryDDS-10466IA

General Provider Information

NPI Number : 1508798869
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TYLER SCOTT ANDERSON DDS
Provider Business Mailing Address
First Line : 13286 NE 56TH ST
Second Line :
City : ELKHART
State : IA
Zip : 50073-9018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1111 9TH ST STE 190
Second Line :
City : DES MOINES
State : IA
Zip : 50314-2527
Country : US
Telephone Number : 515-244-9136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ DR. TYLER SCOTT ANDERSON DDS” Practice Location

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