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Pediatric Dentistry Of Tyler, Pllc
Pediatric Dentist in Tyler, Texas
NPI 1083842629

Pediatric Dentistry Of Tyler, Pllc is a Pediatric Dentist based in Tyler, TX and is specialized in Pediatric Dentistry. Pediatric Dentistry Of Tyler, Pllc practices in Tyler, TX. The NPI Number for Pediatric Dentistry Of Tyler, Pllc is 1083842629 and holds a License No. (Texas).

The current practice location address for Pediatric Dentistry Of Tyler, Pllc is 3607 Old Jacksonville Rd, Tyler, TX and can be reached out via phone at 903-595-5476.

Location: 3607 Old Jacksonville Rd, Tyler, TX, 75701-8512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083842629
Provider Name
Pediatric Dentistry Of Tyler, Pllc
Credential
Provider Entity Type
Organization
Address
3607 Old Jacksonville Rd, Tyler, TX, 75701-8512
Phone Number
903-595-5476
Fax Number
Provider Enumeration Date
06/22/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3607 Old Jacksonville Rd
City
Tyler
State
Texas
Zip
75701-8512
Phone Number
903-595-5476
Fax Number
person
Provider Business Mailing Address Details
Address
3607 Old Jacksonville Rd
City
Tyler
State
Texas
Zip
75701-8512
Phone Number
903-595-5476
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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