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

Dr. Tyler Matheson Davis, DDS

Individual provider Durable Medical Equipment & Medical Supplies · NPI 1104053057

Dr. Tyler Matheson Davis, DDS is a Durable Medical Equipment & Medical Supplies in Wake Forest, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009
Specialties on file
2
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

814 S Main St
Wake Forest, NC 27587-2808
Phone: (919) 556-3780
Fax: (919) 556-1708
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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 8811 (NC)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 8811 (NC)

Record details

NPI number1104053057
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 18, 2009
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address814 S Main St, Wake Forest, NC 27587-2808

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