Provider Demographics
NPI:1063530269
Name:ALBRECHT, TYLER R (DMD)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:R
Last Name:ALBRECHT
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 NORTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-8916
Mailing Address - Country:US
Mailing Address - Phone:435-586-8188
Mailing Address - Fax:
Practice Address - Street 1:1251 NORTHFIELD RD
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-8916
Practice Address - Country:US
Practice Address - Phone:435-586-8188
Practice Address - Fax:435-867-1362
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT633593599211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry