Individual provider · Type 1 NPI

Ty Brandon Black, DDS

General Practice Dentistry · Tyler, TX

NPI number 1851448385 Active

Practice location

5201 S Broadway Ave, St 240
Tyler, TX 75703-3748

Call (903) 534-8110 Map

Fax (903) 534-5510

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X20648 (TX)

General Practice Dentistry: 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.

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About NPI 1851448385

Ty Brandon Black, DDS's National Provider Identifier is 1851448385, issued on Jan 5, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tyler, TX. The record was last updated on Jul 8, 2007.