Organization · Type 2 NPI

Kent B Boozer DDS PA

Pediatric Dentistry · Tyler, TX

NPI number 1508046129 Active

Practice location

5540 Old Jacksonville Hwy
Tyler, TX 75703-3378

Call (903) 597-2121 Map

Fax (903) 581-7776

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X20107 (TX)

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.

7 other providers at this address

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About NPI 1508046129

Kent B Boozer DDS PA's National Provider Identifier is 1508046129, issued on Nov 12, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tyler, TX. The record was last updated on Nov 12, 2007.