Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dutran Tyler DO, MD, DMD

Individual provider Dentist · NPI 1053490961

Dr. Dutran Tyler DO, MD, DMD is a Dentist in Los Angeles, California. Practices as a sole proprietor and works from 3 locations. Licensed in California, Connecticut and New York.

Licensed in
CA, CT, NY
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

12401 Wilshire Blvd Ste 104
Los Angeles, CA 90025-1015
Phone: (203) 200-7280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6505 Rosemead Blvd Ste 203, Pico Rivera, CA 90660-3543 — (562) 942-1062
  • 7901 Broadway, Elmhurst, NY 11373-1329 — (718) 334-4000

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence C139636 (CA)
Dentist Taxonomy 122300000X · Licence 052760 (NY)
Dentist Taxonomy 122300000X · Licence 64626 (CA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 049194 (CT)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 257471 (NY)

Record details

NPI number1053490961
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DMD
Sole proprietorYes
NPI enumeratedNovember 2, 2006
Last updated in NPPESFebruary 27, 2022
Certification dateFebruary 27, 2022

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