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

Tyler J Potter, DDS

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

Tyler J Potter, DDS is a 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
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
Mailing address10972 Allisonville Rd, Suite 110, Fishers, IN 46038-2637

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

Other providers in Greenwood