Doctor profile · Federal record
Dr. Tyler Black, DMD
Dentist · Provo, UT
- NPI 1063257053
- 2 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
835 N 700 E Ste 2
Provo, UT 846066994
(801) 373-7700
Credentials & registration
- NPI registered
- July 2024 — 2 yrs on file
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Utah #14009150-9926
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063257053. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$2,800
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, Inc. | 1 | $2,800.00 |
By nature of payment
Frequently asked questions
What is Dr. Tyler Black's medical specialty?
Dr. Tyler Black practices Dentist in Provo, UT.
Where does Dr. Tyler Black practice?
Dr. Tyler Black practices at 835 N 700 E Ste 2, Provo, UT 846066994. Office phone: 8013737700.
What is Dr. Tyler Black's NPI?
Dr. Tyler Black's National Provider Identifier (NPI) is 1063257053, issued by NPPES.