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

Dr. Tyler Boyd Black, DMD

Individual provider Dentist · NPI 1063257053

Dr. Tyler Boyd Black, DMD is a Dentist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024
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

835 N 700 E Ste 2
Provo, UT 84606-6994
Phone: (801) 373-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14009150-9926 (UT)

Record details

NPI number1063257053
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJune 30, 2024
Mailing address835 N 700 E Ste 2, Provo, UT 84606-6994

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