Organization · Type 2 NPI

Brick Street Dental, PLLC

Dental Clinic/Center · Tyler, TX

NPI number 1730623950 Active

Practice location

215 W Rusk St
Tyler, TX 75701-1652

Call (903) 592-8411 Map

Fax (903) 592-8454

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X12678 (TX)

Dental Clinic/Center: Definition to come...

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About NPI 1730623950

Brick Street Dental, PLLC's National Provider Identifier is 1730623950, issued on Dec 7, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tyler, TX. The record was last updated on Dec 7, 2016.