Doctor profile · Federal record
Dr. Tyler Antonelli, DDS
Dentist · Davis-Monthan Afb, AZ
- NPI 1073133393
- 6 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4175 S Alamo Ave
Davis-Monthan Afb, AZ 85707
(910) 619-6720
Credentials & registration
- NPI registered
- April 2020 — 6 yrs on file
- Profile last updated
- September 20, 2021
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- North Carolina #11977
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073133393. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$75
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, INC. | 1 | $75.00 |
By nature of payment
Frequently asked questions
What is Dr. Tyler Antonelli's medical specialty?
Dr. Tyler Antonelli practices Dentist in Davis-Monthan Afb, AZ.
Where does Dr. Tyler Antonelli practice?
Dr. Tyler Antonelli practices at 4175 S Alamo Ave, Davis-Monthan Afb, AZ 85707. Office phone: 9106196720.
What is Dr. Tyler Antonelli's NPI?
Dr. Tyler Antonelli's National Provider Identifier (NPI) is 1073133393, issued by NPPES.