person
Culberson Reeves Boren, DDS
Pediatric Dentist in Tyler, Texas
NPI 1497837587

Culberson Reeves Boren is a Pediatric Dentist based in Tyler, TX and is specialized in Pediatric Dentistry. Culberson Reeves Boren practices in Tyler, TX and has the professional credentials of DDS. The NPI Number for Culberson Reeves Boren is 1497837587 and holds a License No. 13063 (Texas).

The current practice location address for Culberson Reeves Boren is 7916 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-581-2198 and via fax at 903-581-9571. You can also correspond with Culberson Reeves Boren through the mailing address at 7916 S BROADWAY AVE, TYLER, TX - 75703-5274 (mailing address contact number: 903-581-2198).

Location: 7916 S Broadway Ave, Tyler, TX, 75703-5274
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Provider Profile Details
NPI Number
1497837587
Provider Name
Culberson Reeves Boren
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7916 S Broadway Ave, Tyler, TX, 75703-5274
Phone Number
903-581-2198
Fax Number
903-581-9571
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008045901 05 TX
751899269 01 TX TAX ID
institution
Provider Business Practice Location Address Details
Address
7916 S Broadway Ave
City
State
Zip
75703-5274
Phone Number
903-581-2198
Fax Number
903-581-9571
person
Provider Business Mailing Address Details
Address
7916 S Broadway Ave
City
State
Zip
75703-5274
Phone Number
903-581-2198
Fax Number
903-581-9571
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
13063 (Texas)
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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