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Professional Dental Alliance Of Tx 43004 Pllc
General Practice Dentistry in Tyler, Texas
NPI 1093329534

Professional Dental Alliance Of Tx 43004 Pllc is a General Practice Dentistry based in New Castle, TX and is specialized in General Practice. Professional Dental Alliance Of Tx 43004 Pllc practices in Tyler, TX. The NPI Number for Professional Dental Alliance Of Tx 43004 Pllc is 1093329534 and holds a License No. (Texas).

The current practice location address for Professional Dental Alliance Of Tx 43004 Pllc is 212 Old Grande Blvd Ste B224, Tyler, TX and can be reached out via phone at 903-509-0505.

Location: 212 Old Grande Blvd Ste B224, Tyler, TX, 16101-3680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093329534
Provider Name
Professional Dental Alliance Of Tx 43004 Pllc
Credential
Provider Entity Type
Organization
Address
212 Old Grande Blvd Ste B224, Tyler, TX, 16101-3680
Phone Number
903-509-0505
Fax Number
Provider Enumeration Date
09/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
212 Old Grande Blvd Ste B224
City
Tyler
State
Texas
Zip
75703-4277
Phone Number
903-509-0505
Fax Number
person
Provider Business Mailing Address Details
Address
212 Old Grande Blvd Ste B224
City
Tyler
State
Texas
Zip
75703-4277
Phone Number
903-509-0505
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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