Provider Demographics
NPI:1205866118
Name:CHYTEN, ALAN M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:M
Last Name:CHYTEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-2934
Mailing Address - Country:US
Mailing Address - Phone:508-872-8575
Mailing Address - Fax:508-872-1427
Practice Address - Street 1:55 MAIN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-2934
Practice Address - Country:US
Practice Address - Phone:508-872-8575
Practice Address - Fax:508-872-1427
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA99711223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics