1. Home
  2. Directory
  3. Arizona
  4. Davis Monthan Afb
  5. Dentist
  6. NPI Profile

TYLER ANTONELLI DDS
NPI 1073133393
Dentist in Davis-monthan Afb, AZ

Active since April 17, 2020
4175 S ALAMO AVE, DAVIS-MONTHAN AFB, AZ 85707(910) 619-6720 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2021, Apr 17, 2020 (2 updates tracked since 2020).

About Tyler Antonelli Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER ANTONELLI DDS (NPI 1073133393) is an individual dentist in Davis-monthan Afb, Arizona, licensed in North Carolina (11977) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1073133393
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTYLER ANTONELLICredential: DDS
Location Address4175 S ALAMO AVEDavis-monthan Afb, AZ 85707
Mailing Address4175 S Alamo AveDavis-monthan Afb, AZ 85707 · (910) 619-6720
Phone(910) 619-6720
Sole ProprietorYes
Enumeration DateApril 17, 2020
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
✔ NPI 1073133393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 11977
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4175 S ALAMO AVE, Davis-monthan Afb, AZ 85707
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of NC and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB MACK DMD
Dentist (General Practice)
4175 S ALAMO AVE
DAVIS MONTHAN AFB, AZ 85707
Pima County (719) 333-5192
NANCY CHRISTY N.P.
Nurse Practitioner (Women's Health)
4175 S ALAMO AVE, BUILDING 400
DM AFB, AZ 85707
Pima County (520) 228-2665
DR. ELIZABETH ROSE PHILLIPS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-4357
MICHELLE MCLOUGHLIN LCSW
Social Worker (Clinical)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-2104
DR. ALLAN CURTISS BUSHNELL JR. MD, MSPH
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4175 S ALAMO AVE, DAVIS-MONTHAN AIR FORCE BASE
TUCSON, AZ 85707
Pima County (520) 228-2720
DR. CARL WAYNE DASSE MD
Family Medicine
4175 S ALAMO AVE
DM AFB, AZ 85707
Pima County (520) 228-2600
DR. NICHOLAS ROBERT EINBENDER D.M.D.
Dentist (General Practice)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-2778
AMANDA COOK DO
Pediatrics
4175 S ALAMO AVE
DAVIS-MONTHAN AFB, AZ 85707
Pima County (520) 228-2778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Antonelli's NPI number?

The NPI number for Tyler Antonelli is 1073133393. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Tyler Antonelli located?

Tyler Antonelli practices at 4175 S Alamo Ave, Davis-Monthan Afb, AZ 85707. The listed phone number is (910) 619-6720.

What is Tyler Antonelli's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Tyler Antonelli accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of NC, Dominion National and HRI Dental & Vision and 5 other insurers list Tyler Antonelli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Antonelli was last updated on September 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.