MEDICARE: DR. GRANT TYLER HUTCHENS D.D.S.

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	122300000X	Dentist	0401412917	VA
2	1223E0200X	Endodontics	61215	CA

General Provider Information

NPI Number	:	1972890226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRANT TYLER HUTCHENS D.D.S.

Provider Business Mailing Address
First Line	:	7900 EL CAJON BLVD
Second Line	:	SUITE F
City	:	LA MESA
State	:	CA
Zip	:	91942-0607
Country	:	US
Telephone Number	:	619-465-1733
Fax Number	:

Provider Business Practice Location Address
First Line	:	7900 EL CAJON BLVD
Second Line	:	SUITE F
City	:	LA MESA
State	:	CA
Zip	:	91942-0607
Country	:	US
Telephone Number	:	619-465-1733
Fax Number	:

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

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	08/24/2013

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1356500110 — CRAIG DEAGLE DMD
Practice Location Address:

7900 EL CAJON BLVD
LA MESA, CA
91942-0607

Practice Phone: 617-834-4943
Practice Fax:

1245653146 — DR. MICHAEL HONORE CRIQUI M.D.
Practice Location Address:

9500 GILMAN DR , MAIL CODE 0607
LA JOLLA, CA
92093-0607

Practice Phone: 858-534-3722
Practice Fax: 858-246-0298

1568877314 — PUJA MILAN PAREKH O.D.
Practice Location Address:

1202 S IDAHO ST STE H
LA HABRA, CA
90631-0607

Practice Phone: 562-316-0216
Practice Fax:

1164195400 — PUJA PAREKH O D INC
Practice Location Address:

1202 S IDAHO ST STE H
LA HABRA, CA
90631-0607

Practice Phone: 562-316-0216
Practice Fax:

1346957933 — KOMI OPTICAL, INC.
Practice Location Address:

1202 S IDAHO ST STE H
LA HABRA, CA
90631-0607

Practice Phone: 562-316-0216
Practice Fax:

Directions to “ DR. GRANT TYLER HUTCHENS D.D.S.” 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.