Organization · Type 2 NPI

Pediatric Dentistry of Tyler, PLLC

Pediatric Dentistry · Tyler, TX

NPI number 1083842629 Active

Practice location

3607 Old Jacksonville Rd
Tyler, TX 75701-8512

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: 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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About NPI 1083842629

Pediatric Dentistry of Tyler, PLLC's National Provider Identifier is 1083842629, issued on Jun 22, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tyler, TX. The record was last updated on Jun 22, 2009.