Organization · Type 2 NPI
Tyler Periodontics, PLLC
Periodontics · Tyler, TX
NPI number
1619331634
Active
Practice location
3805 Brookside Dr
Tyler, TX 75701-9421
Fax (903) 509-0160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 30701 (TX) |
| Periodontics | 1223P0300X | 10911 (TX) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
Other periodontics providers in Tyler
About NPI 1619331634
Tyler Periodontics, PLLC's National Provider Identifier is 1619331634, issued on Apr 6, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tyler, TX. The record was last updated on Dec 22, 2016.