Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tyler Ansley Blackburn, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568154524

Dr. Tyler Ansley Blackburn, DMD is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

920 Madison Ave Ste 447
Memphis, TN 38163-2005
Phone: (901) 448-9942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1568154524
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 25, 2023
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

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