Tyler, Christopher M

Tyler, Christopher M is an individual health care provider with primary practice located at 1601 Boyson Square Dr , Hiawatha IA 52233-2311. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Tyler, Christopher M can be contacted via phone (319) 366-8095.

Contact Information

Primary practice address
1601 Boyson Square Dr Hiawatha IA 52233-2311
Phone: (319) 366-8095
Fax: (319) 366-4542
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7841 Iowa
Dental Providers / Dentist 122300000X 08330 Iowa
Dental Providers / Dentist 122300000X 8012 Iowa
Dental Providers / General Practice 1223G0001X 7841 Iowa

Profile Details

NPI number 1295870442
LBN Legal business name Tyler, Christopher M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Apr 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295870442 NPPES
Iowa MEDICAID 1386709772
Iowa MEDICAID 1376619965

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