Tyler J Potter
D.D.S. | Oral and Maxillofacial Surgeon | 26+ years Exp
1630 W Smith Valley Rd, Greenwood
Indiana, 46142-1550
317-882-3370 317-882-2964
Maps & DirectionsTyler J Potter is a Greenwood, Indiana based Oral and Maxillofacial Surgeon with
26 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Indiana University School Of Dentistry in 1999. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Tyler J Potter is
12010184A for Oral and Maxillofacial Surgery in Indiana. His current practice location is
1630 W Smith Valley Rd, Greenwood. Patients can reach him at
317-882-3370.
Tyler J Potter deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Tyler J Potter speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Tyler J Potter |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S. |
| Experience: | 26+ years |
| Medical School Attended: | Indiana University School Of Dentistry |
| Graduation Year: | 1999 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1630 W Smith Valley Rd, Greenwood,
Indiana, 46142-1550 |
| Phone: | 317-882-3370 |
| Fax: | 317-882-2964 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8224035191 |
| Enrollment ID: | I20100812000888 |
| NPI Number: | 1992749402 |
| NPI Enumeration Date: | 15 Jun, 2006 |
| NPI Last Update On: | 31 Aug, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tyler J Potter are as mentioned below.
| License Number | Specialization | State | Status | |
| 12010184A | Oral and Maxillofacial Surgery | Indiana | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Tyler J Potter is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Indiana Oral And Maxillofacial Surgery Associates Pc (9335157254) | 12 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Tyler J Potter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200449320 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10972 Allisonville Rd, Suite 110
Fishers, Indiana |
| Zip: | 46038-2637 |
| Phone Number: | 317-913-2363 |
| Fax Number: | 317-913-2360 |
Patients can reach Tyler J Potter at
1630 W Smith Valley Rd, Greenwood, Indiana or can
call to book an appointment on 317-882-3370.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.