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DR. TYLER DEITELBAUM DMD
NPI 1366245896
Student in an Organized Health Care Education/Training Program in Danbury, CT

Active since March 31, 2025

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tyler Deitelbaum Dmd NPPES

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

DR. TYLER DEITELBAUM DMD (NPI 1366245896) is an individual student in an organized health care education/training program in Danbury, Connecticut and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1366245896
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. TYLER DEITELBAUMCredential: DMD
Location Address70 MAIN STDanbury, CT 06810-7832
Mailing Address70 Main StDanbury, CT 06810-7832 · (203) 739-8100
Phone(203) 739-8100
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
✔ NPI 1366245896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
70 MAIN ST, Danbury, CT 06810
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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.

DANBURY HOSPITAL
Clinic/Center (Dental)
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 791-5010
JILLIAN BERNSTEIN
Student in an Organized Health Care Education/Training Program
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-8100
VERONICA IVETTE RON MD
Pediatrics
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 791-5020
DR. MELISSA WHITNEY RODGERS DMD
Dentist (General Practice)
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 798-8840
DR. THOMAS JOSEPH KAHL DDS
Dentist (General Practice)
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 791-5010
DR. MASOOMA BHATTI D.M.D
Student in an Organized Health Care Education/Training Program
70 MAIN ST, DANBURY HOSPITAL, DENTAL CLINIC
DANBURY, CT 06810
Western Connecticut Planning Region (203) 791-5010
CONNECTICUT INSTITUTE FOR COMMUNITIES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 743-0100
DR. ANNA ADAMS KIMBERLY DMD
Student in an Organized Health Care Education/Training Program
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 791-5010

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 Deitelbaum's NPI number?

The NPI number for Tyler Deitelbaum is 1366245896. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Tyler Deitelbaum located?

Tyler Deitelbaum practices at 70 Main St, Danbury, CT 06810. The listed phone number is (203) 739-8100.

What is Tyler Deitelbaum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tyler Deitelbaum was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.