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

Tyler Hanis

Individual provider Dentist · NPI 1710728621

Tyler Hanis is a Dentist in Prescott, Arizona. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

1058 Fair St Ste A
Prescott, AZ 86305-1803
Phone: (928) 776-0606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13989712-9923 (UT)

Record details

NPI number1710728621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 4, 2024
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address3290 Willow Butte Cir, Prescott, AZ 86301-8540

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