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Organization
TYSON DENTAL, INC
Active
Organization
TYSON DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE B TYSON D.M.D. (PRESIDENT)
(256) 258-9333
Entity
Organization
Contact information
Practice address
1410 PARAMOUNT DR STE A, HUNTSVILLE, AL 35806-3010
(256) 258-9333
(256) 242-5040
Mailing address
1410 PARAMOUNT DR STE A, HUNTSVILLE, AL 35806-3010
(256) 258-9333
(256) 242-5040
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5754
AL
Other
Enumeration date
07/26/2012
Last updated
03/31/2020
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