Provider Demographics
NPI:1720162175
Name:BYLER, RICHARD DALE (DDS)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:DALE
Last Name:BYLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 W FRANK
Mailing Address - Street 2:STE B
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904
Mailing Address - Country:US
Mailing Address - Phone:936-634-3431
Mailing Address - Fax:936-634-3724
Practice Address - Street 1:405 W FRANK
Practice Address - Street 2:STE B
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904
Practice Address - Country:US
Practice Address - Phone:936-634-3431
Practice Address - Fax:936-634-3724
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD15776122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist