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Dr. Ty Brandon Black, DDS
General Practice Dentistry in Tyler, Texas
NPI 1851448385

Ty Brandon Black is a General Practice Dentistry based in Tyler, TX and is specialized in General Practice. Ty Brandon Black practices in Tyler, TX and has the professional credentials of DDS. The NPI Number for Ty Brandon Black is 1851448385 and holds a License No. 20648 (Texas).

The current practice location address for Ty Brandon Black is 5201 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-534-8110 and via fax at 903-534-5510.

Location: 5201 S Broadway Ave, Tyler, TX, 75703-3748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851448385
Provider Name
Ty Brandon Black
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5201 S Broadway Ave, Tyler, TX, 75703-3748
Phone Number
903-534-8110
Fax Number
903-534-5510
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5201 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-3748
Phone Number
903-534-8110
Fax Number
903-534-5510
person
Provider Business Mailing Address Details
Address
5201 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-3748
Phone Number
903-534-8110
Fax Number
903-534-5510
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
20648 (Texas)
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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