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Tyler Dickenson

NPI 1902524176 · on the registry since 2022 · sole proprietor

Practice

Address
3307 N Dixieland Rd
Rogers, AR 72756
Phone
(479) 986-5150
Fax
(479) 986-5191
Organisation at this address
Kids For The Future Rogers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Additional practice sites

  • 2210 Main Dr, Springdale, AR
  • 425 S Main St, Decatur, AR

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas