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

Dr. Tyler Chancellor, DDS

Individual provider General Practice Dentistry · NPI 1396314365

Dr. Tyler Chancellor, DDS is a General Practice Dentistry in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4016 Lemay Ferry Rd
Saint Louis, MO 63129-1858
Phone: (303) 305-4062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 00204788 (CO)

Record details

NPI number1396314365
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 23, 2021
Last updated in NPPESAugust 10, 2024
Certification dateAugust 10, 2024
Mailing address716 Williamsburg Blvd, Edwardsville, IL 62025-5538

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