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

Individual provider Dentist · NPI 1770272163

Dr. Tyler Keith Stidham, DMD, MBA is a Dentist in Fernandina Beach, Florida. Practices as a sole proprietor. Licensed in Florida and Ohio.

Licensed in
FL, OH
In the registry since
2023
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

516 Island View Dr
Fernandina Beach, FL 32034-0099
Phone: (740) 935-4258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN29186 (FL)
Dentist Taxonomy 122300000X · Licence 30.027614 (OH)

Record details

NPI number1770272163
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MBA
Sole proprietorYes
NPI enumeratedMay 2, 2023
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

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