Individual
JOSHUA B TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1013 UNIVERSITY BLVD, SUFFOLK, VA 23435-3900
(757) 956-3422
Mailing address
100 SHARPE DR, SUFFOLK, VA 23435-4230
(908) 623-0872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417363
VA
1223G0001X
General Practice Dentistry
22DI02659200
NJ
Other
Enumeration date
05/13/2016
Last updated
05/27/2022
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