Boren, Culberson Reeves
Boren, Culberson Reeves is an sole proprietor health care provider with primary practice located at 7916 S Broadway Ave Ste 150, Tyler TX 75703-5274. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Boren, Culberson Reeves can be contacted via phone (903) 581-2198.Contact Information
Primary practice address
7916 S Broadway Ave Ste 150
Tyler TX 75703-5274
Phone: (903) 581-2198
Fax: (903) 581-9571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 13063 | Texas |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 013063 | Texas |
Profile Details
| NPI number | 1497837587 |
|---|---|
| LBN Legal business name | Boren, Culberson Reeves |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Aug 16th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497837587 | NPPES |
| Texas | MEDICAID | 008045901 | |
| Texas | Other | 751899269 |
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