Provider Demographics
NPI:1801068150
Name:TYUS, JAMES EDDIE I (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDDIE
Last Name:TYUS
Suffix:I
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 1:113 GRAYLYNN DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2705
Mailing Address - Country:US
Mailing Address - Phone:615-889-9777
Mailing Address - Fax:615-889-9091
Practice Address - Street 1:113 GRAYLYNN DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2705
Practice Address - Country:US
Practice Address - Phone:615-889-9777
Practice Address - Fax:615-889-9091
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3352122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist