TYLER J. HOLLEY MD, DDS – NPI #1154760411
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

TYLER HOLLEY is an oral & maxillofacial surgeon located in ORLANDO, FL. NPPES has assigned the NPI number 1154760411 to TYLER HOLLEY on June 20, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 2 years ago on Jan 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TYLER HOLLEY below.

NPI Profile for
TYLER J. HOLLEY

NPI Number
1154760411
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TYLER J. HOLLEY
Credentials
MD, DDS
Primary location
207 W GORE ST STE 302
ORLANDO, FL 32806-1014
Phone: (407) 839-8407 Fax: (407) 839-8446
1 Other location(s):
1930 Alcoa Hwy Ste 335
Knoxville, TN 37920-1585
Phone: (865) 305-6217
Fax: (865) 305-6216
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TYLER HOLLEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL105884500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)
NE 7135
1223S0112X
- Dentist / Oral and Maxillofacial Surgery
FL DN25920

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
TYLER HOLLEY is affiliated with the following medical group(s):
  • HOSPITAL
    • UF HEALTH SHANDS HOSPITAL
      1600 SW ARCHER RD
      GAINESVILLE, FL 32610

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.