| W. Tyler Mistr, Dds, Plc | |
|
1817 W Plaza Dr Winchester VA 22601-6365 | |
| (540) 545-4600 | |
| (540) 545-3800 |
| Full Name | W. Tyler Mistr, Dds, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1817 W Plaza Dr, Winchester, Virginia |
| Authorized Official Name and Position | Wilson Tyler Mistr (OWNER) |
| Authorized Official Contact | 5405454600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W. Tyler Mistr, Dds, Plc 1817 W Plaza Dr Winchester VA 22601-6365 Ph: (540) 545-4600 | W. Tyler Mistr, Dds, Plc 1817 W Plaza Dr Winchester VA 22601-6365 Ph: (540) 545-4600 |
| NPI Number | 1285776542 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285776542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401008715 (Virginia) | Primary |
| 1223G0001X | Dentist - General Practice | 0401008618 (Virginia) | Secondary |
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