Individual
DR. CHRISTOPHER M TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1601 BOYSON SQUARE DR, HIAWATHA, IA 52233-2311
(319) 366-8095
(319) 366-4542
Mailing address
1601 BOYSON SQUARE DR, HIAWATHA, IA 52233-2311
(319) 366-8095
(319) 366-4542
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08330
IA
122300000X
Dentist
7841
IA
122300000X
Dentist
8012
IA
1223G0001X
General Practice Dentistry
Primary
7841
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376619965
—
IA
05
—
1386709772
—
IA
Enumeration date
02/21/2007
Last updated
04/09/2020
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