DR. TYLER MATHESON DAVIS (NPI# 1104053057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104053057 |
| Entity Type | Individual |
| Full Name | DR. TYLER MATHESON DAVIS |
| Credential | DDS |
| Practice Address |
814 S Main St Wake Forest NC 27587-2808 |
| Practice Telephone | 9195563780 |
| Practice Fax Number | 9195561708 |
| Mailing Telephone | 9195563780 |
| Mailing Fax Number | 9195561708 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2018-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8811 | NC | Dental Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 8811 | NC | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235646936 | Tyler Davis | Occupational Therapy Assistant | 709 Highway 19, Thayer, MO 65791 | 2018-01-03 |
| 1790096154 | Tyler Davis | Dentist | 80 W Concord St, #2, Boston, MA 02118-3808 | 2010-06-30 |
| 1003439803 | Tyler Davis | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2020-05-27 |
| 1346894409 | Tyler Richard Davis | Nurse Practitioner | 617 E Riverside Dr Ste 302, Saint George, UT 84790-8722 | 2019-07-27 |
| 1376105221 | Tyler Davis | Pharmacist | 500 Suncrest Town Centre Dr, Morgantown, WV 26505-1820 | 2019-07-01 |
| 1447815295 | Tyler Lynn Davis | Registered Nurse | 2500 Rocky Mountain Ave Ste 100, Loveland, CO 80538-9004 | 2019-05-07 |
| 1972064160 | Tyler R. Davis | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130-3932 | 2019-03-29 |
| 1013477942 | Tyler Davis | Anesthesiology | Kumc 3901 Rainbow Blvd Ms 1034, Kansas City, KS 66160-0001 | 2019-03-25 |
| 1275090722 | Tyler Davis | Emergency Medicine | 620 Shadow Ln, Las Vegas, NV 89106-4194 | 2019-02-20 |
| 1336637941 | Tyler Davis | Pharmacist | 6777 Clinton Hwy, Knoxville, TN 37912-1020 | 2018-04-30 |
| Street Address |
814 S MAIN ST |
| City | WAKE FOREST |
| State | NC |
| Zip Code | 27587-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982191789 | Tyler M. Davis Dds Pa | Dentist | 814 S Main St, Wake Forest, NC 27587-2808 | 2018-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713080 | Catherine Restrepo | Speech-Language Pathologist | 900 S Franklin St, Ste 201, Wake Forest, NC 27587 | 2020-06-03 |
| 1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
| 1851863609 | The Counseling Collective | Counselor | 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 | 2018-12-18 |
| 1891270856 | Halston Hoke | Speech-Language Pathologist | 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 | 2018-09-26 |
| 1710465620 | Amy K Tarnowski | Physical Therapist | The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 | 2018-08-02 |
| 1518452341 | Language and Literacy 365, Pllc | Speech-Language Pathologist | 956 Templeridge Rd, Wake Forest, NC 27587 | 2018-06-25 |
| 1467951723 | Justin Mitchell | Physical Therapist | 843 Durham Rd Suite 110, Wake Forest, NC 27587 | 2018-02-01 |
| 1124544499 | Carolina Concussion & Physical Medicine, Pllc | Chiropractor | 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | 2017-08-18 |
| 1902293889 | Katherine Armine Lorch | Student in an Organized Health Care Education/Training Program | 3000 Rogers Road Ste 210, Wake Forest, NC 27587 | 2015-04-18 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| Find all providers in zip 27587 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144592 | S. Gibree, D.m.d., P.C. | Dentist | 1070 Forestville Rd, Wake Forest, NC 27587-9361 | 2019-09-24 |
| 1174044226 | Marinee Cabrera Lees | Dentist | 1936 Heritage Branch Rd., Suite 200, Wake Forest, NC 27857-2785 | 2017-06-29 |
| 1720443542 | Tran M. Nguyen, Dds, Pa | Dentist | 304 Capcom Ave, Wake Forest, NC 27587-6598 | 2015-12-21 |
| 1386038305 | Lauren Sireci | Dentist | 3415 Rogers Rd Ste 100, Wake Forest, NC 27587-3809 | 2015-03-27 |
| 1750633483 | Eric James Wagoner | Dentist | 835 Wake Forest Business Park Ste E, Wake Forest, NC 27587-7324 | 2012-10-04 |
| 1952665846 | Si Eun Jeon | Dentist | 12215 Hampton Way Dr Ste 107, Wake Forest, NC 27587-6295 | 2012-06-26 |
| 1164732160 | Abdelbaky & Boes II, Pllc | Dentist | 3415 Rogers Rd, Suite 100, Wake Forest, NC 27587-3809 | 2010-10-09 |
| 1104037142 | Robbie T. Smith | Dentist | 12244 Wake Union Church Rd, Wake Forest, NC 27587-9549 | 2007-05-24 |
| 1073728978 | Kevin Comer Upton | Dentist | 101 S Brooks St, Wake Forest, NC 27587 | 2007-05-14 |
| 1467443044 | Michael R. Dearstyne | Dentist | 835 Wake Forest Business Park, Suite E, Wake Forest, NC 27587-7324 | 2005-11-02 |
| Find all providers in WAKE FOREST | ||||
| City | WAKE FOREST |
| Zip Code | 27587 |
Please comment or provide details below to improve the information on DR. TYLER MATHESON DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.