Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tyler J Potter, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1992749402

Tyler J Potter, DDS practises Maxillofacial Surgery in Greenwood, Indiana. Graduated from Indiana University School of Dentistry in 1999, 27 years ago. Practices with Indiana Oral and Maxillofacial Surgery Associates PC, an 11-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
27
Trained at
Indiana University School of Dentistry
Licensed in
IN
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

1630 W Smith Valley Rd
Greenwood, IN 46142-1550 Not confirmed with CMS for 14 years — call before visiting
Phone: (317) 882-3370
Fax: (317) 882-2964
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12010184A (IN)

Record details

NPI number1992749402
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESAugust 31, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolINDIANA UNIVERSITY SCHOOL OF DENTISTRY
Graduated 1999 (27 years in practice)
Group practice Indiana Oral And Maxillofacial Surgery Associates Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients17
Services billed 24 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Indiana Oral and Maxillofacial Surgery Associates PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Greenwood