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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAST TEXAS DENTAL ASSOCIATES, P.A.

Active Organization

EAST TEXAS DENTAL ASSOCIATES, P.A. is a Dentist organization located in TYLER, Texas. NPI 1750604211 is currently active in the NPPES registry. Verify at CMS.

Dentist · TYLER, TX

Registration Details

NPI Number
1750604211
Provider Type
Organization
NPI Issued
Mar 11, 2010 (16.416785513589 yrs)
Last Updated
Mar 11, 2010
License
12586 (TX)

Practice Information

Address
212 OLD GRANDE BLVD
SUITE B224
TYLER, TX, 757034264
Browse TX providers · Browse ZIP 75703
Phone
9035090505
Fax
9035090506
Primary Specialty
Dentist
122300000X

Other Dentist Organizations in TYLER, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.