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Dr. Kent B Boozer, DDS
Pediatric Dentist in Tyler, Texas
NPI 1578502878

Kent B Boozer is a Pediatric Dentist based in Tyler, TX and is specialized in Pediatric Dentistry. Kent B Boozer practices in Tyler, TX and has the professional credentials of DDS. The NPI Number for Kent B Boozer is 1578502878 and holds a License No. 20107 (Texas).

The current practice location address for Kent B Boozer is 5540 Old Jacksonville Hwy, Tyler, TX and can be reached out via phone at 903-597-2121 and via fax at 903-581-7776.

Location: 5540 Old Jacksonville Hwy, Tyler, TX, 75701-1633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578502878
Provider Name
Kent B Boozer
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5540 Old Jacksonville Hwy, Tyler, TX, 75701-1633
Phone Number
903-597-2121
Fax Number
903-581-7776
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009556401 05 TX
institution
Provider Business Practice Location Address Details
Address
5540 Old Jacksonville Hwy
City
Tyler
State
Texas
Zip
75703-1633
Phone Number
903-597-2121
Fax Number
903-581-7776
person
Provider Business Mailing Address Details
Address
5540 Old Jacksonville Hwy
City
Tyler
State
Texas
Zip
75703-1633
Phone Number
903-597-2121
Fax Number
903-581-7776
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
20107 (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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