Individual
DR. JOHN T TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2614 SE WILLOUGHBY BLVD, STUART, FL 34994-4700
(772) 283-8555
Mailing address
19874 WILKINSON LEAS RD, TEQUESTA, FL 33469-2178
(561) 746-7702
(561) 746-6355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN9494
FL
Other
Enumeration date
06/20/2006
Last updated
10/24/2008
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