Pediatric Dentistry Of Tyler, Pllc

LBN: Pediatric Dentistry Of Tyler, Pllc
Pediatric Dentistry Of Tyler, Pllc is an health care organization with primary practice located at 3607 Old Jacksonville Rd , Tyler TX 75701-8512. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Dentistry Of Tyler, Pllc can be contacted via phone (903) 595-5476, or through Carter, John D via phone (903) 595-5476.

Contact Information

Primary practice address
3607 Old Jacksonville Rd Tyler TX 75701-8512
Fax:
Website:
Authorized official contact:
Name: Carter, John D Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1083842629
LBN Legal business name Pediatric Dentistry Of Tyler, Pllc
DBA Doing business as
Authorized official Carter, John D Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2009
Last updated Jun 22nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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