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Dr. Titus Son, DDS
General Practice Dentistry in Tyler, Texas
NPI 1962068353

Titus Son is a General Practice Dentistry based in Tyler, TX and is specialized in General Practice. Titus Son practices in Tyler, TX and has the professional credentials of DDS. The NPI Number for Titus Son is 1962068353 and holds a License No. 22DI02764600 (Texas).

The current practice location address for Titus Son is 212 Old Grande Blvd, Tyler, TX and can be reached out via phone at 903-509-0505.

Location: 212 Old Grande Blvd, Tyler, TX, 75703-4277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962068353
Provider Name
Titus Son
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
212 Old Grande Blvd, Tyler, TX, 75703-4277
Phone Number
903-509-0505
Fax Number
Provider Enumeration Date
05/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
212 Old Grande Blvd
City
Tyler
State
Texas
Zip
75703-4226
Phone Number
903-509-0505
Fax Number
person
Provider Business Mailing Address Details
Address
212 Old Grande Blvd
City
Tyler
State
Texas
Zip
75703-4226
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
22DI02764600 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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