Provider Demographics
NPI:1407581788
Name:WHITFIELD, TYLER CARRINGTON (DDS)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:CARRINGTON
Last Name:WHITFIELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8100 FOREST HILLS RD
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-2709
Mailing Address - Country:US
Mailing Address - Phone:779-210-3724
Mailing Address - Fax:779-970-5745
Practice Address - Street 1:8100 FOREST HILLS RD
Practice Address - Street 2:
Practice Address - City:LOVES PARK
Practice Address - State:IL
Practice Address - Zip Code:61111-2709
Practice Address - Country:US
Practice Address - Phone:815-403-0267
Practice Address - Fax:779-970-5745
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0336731223G0001X, 1223E0200X
IN12013805A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice