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Active NPI 1972163590 Individual Practitioner Male Practitioner

Dr. Tylere Nunnery , DMD

Dentist - General Practice • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Tylere Nunnery, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jackson, MS. Practice services are available at 2500 N STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 6019846028
Fax 6019846039
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
96 Specialists

Practicing in Jackson, MS (895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 4062-19

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
NPI 1003103342

Doctor of Dental Surgery

Dr. Kimberly Powell , DDS

Student in an Organized Health Care Education/Training Program

NPI 1003171182

Doctor of Dental Surgery

NPI 1043625619

Doctor of Dental Medicine

Stedman Hurdle

Student in an Organized Health Care Education/Training Program

NPI 1043706120
Dr. Joanna Seo , DMD

Dentist - General Practice

NPI 1104555093

Doctor of Dental Medicine

NPI 1124434824

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2019

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019846028)

📍
Updated Business Mailing Address June 17, 2019

Registered at 53 NORTHTOWN DR APT 32C, JACKSON, MS 392113801 (Tel: 6015519009)

👤
Provider Name / Credentials Updated June 17, 2019

Recorded as TYLERE NUNNERY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2019

Dentist (License #4062-19 in MS)

🟢
Initial NPI Registration & Enumeration June 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972163590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2019
Last Update: June 17, 2019
Sole Proprietor: No

Mailing Address

53 Northtown Dr Apt 32c

Jackson, MS 392113801

Phone: 6015519009

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.