Dr. Tyler Gerard Carron
Dentist - General Practice
504 N New Florissant Rd
Florissant
, Missouri 63031-4802
Dr. Tyler Gerard Carron
Dentist - General Practice
504 N New Florissant Rd
Florissant
, Missouri 63031-4802
(314) 677-8481
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Tyler Gerard Carron
- 4 Timberstone Ct
- Manchester, MO
- Zip : 63021-7034
- Phone : (314) 677-8481
Second Address
- Dr. Tyler Gerard Carron
- 504 N New Florissant Rd
- Florissant, MO
- Zip : 63031-4802
- Phone : (314) 207-3989
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 2019020686 | MO |
| Y | 213EG0000X | General Practice | 2019020686 | MO |
National Provider Identifier
| NPI | 1003476730 |
|---|---|
| Provider Name | Dr. Tyler Gerard Carron |
| First Address | Manchester, MO 63021-7034 |
| Second Address | Florissant, MO 63031-4802 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2019 |
| Last Update Date | 14/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.