Provider Demographics
NPI:1861377525
Name:WYCHE, CHYNA (DDS)
Entity type:Individual
Prefix:
First Name:CHYNA
Middle Name:
Last Name:WYCHE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8104 HAIDAS AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-0214
Mailing Address - Country:US
Mailing Address - Phone:757-323-3338
Mailing Address - Fax:
Practice Address - Street 1:1917 HOFFMAN RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-6574
Practice Address - Country:US
Practice Address - Phone:980-289-0447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC144311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice