# W. TYLER MISTR, DDS, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285776542
- **Authorized official:** DR. WILSON TYLER MISTR DDS (OWNER)
- **Authorized official phone:** (540) 545-4600

## Contact information

- **Practice address:** 1817 W PLAZA DR, WINCHESTER, VA 22601-6365
- **Practice address phone:** (540) 545-4600
- **Practice address fax:** (540) 545-3800
- **Mailing address:** 1817 W PLAZA DR, WINCHESTER, VA 22601-6365
- **Mailing address phone:** (540) 545-4600
- **Mailing address fax:** (540) 545-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401008618 | VA | — |
| 1223G0001X | General Practice Dentistry | 0401008715 | VA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/22/2020