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Boozer-lindsey Pa
Pediatric Dentist in Athens, Texas
NPI 1134449945

Boozer-lindsey Pa is a Pediatric Dentist based in Tyler, TX and is specialized in Pediatric Dentistry. Boozer-lindsey Pa practices in Athens, TX. The NPI Number for Boozer-lindsey Pa is 1134449945 and holds a License No. (Texas).

The current practice location address for Boozer-lindsey Pa is 6300 State Highway 19 S, Athens, TX and can be reached out via phone at 903-675-2023.

Location: 6300 State Highway 19 S, Athens, TX, 75711-9499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134449945
Provider Name
Boozer-lindsey Pa
Credential
Provider Entity Type
Organization
Address
6300 State Highway 19 S, Athens, TX, 75711-9499
Phone Number
903-675-2023
Fax Number
Provider Enumeration Date
06/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
213370401 05 TX
institution
Provider Business Practice Location Address Details
Address
6300 State Highway 19 S
City
Athens
State
Texas
Zip
75751-8966
Phone Number
903-675-2023
Fax Number
person
Provider Business Mailing Address Details
Address
6300 State Highway 19 S
City
Athens
State
Texas
Zip
75751-8966
Phone Number
903-675-2023
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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