Provider Demographics
NPI:1679694871
Name:CHAD E BYLER DDS PA
Entity type:Organization
Organization Name:CHAD E BYLER DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:EVERETTE
Authorized Official - Last Name:BYLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-308-3860
Mailing Address - Street 1:201 HUNTERS CROSSING BLVD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-3972
Mailing Address - Country:US
Mailing Address - Phone:512-308-9860
Mailing Address - Fax:512-308-9862
Practice Address - Street 1:201 HUNTERS CROSSING BLVD
Practice Address - Street 2:SUITE 16
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-3972
Practice Address - Country:US
Practice Address - Phone:512-308-9860
Practice Address - Fax:512-308-9862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty