| Dentistry Of Texas, Pc | |
|
1932 E Southeast Loop 323 Tyler TX 75701-8337 | |
| (770) 916-9000 | |
| Not Available |
| Full Name | Dentistry Of Texas, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1932 E Southeast Loop 323, Tyler, Texas |
| Authorized Official Name and Position | Paul O Walker (PRESIDENT) |
| Authorized Official Contact | 7709165028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry Of Texas, Pc 400 Galleria Pkwy Se Ste 800 Attn; Chris Woods Atlanta GA 30339-6413 Ph: (770) 916-5028 | Dentistry Of Texas, Pc 1932 E Southeast Loop 323 Tyler TX 75701-8337 Ph: (770) 916-9000 |
| NPI Number | 1508189879 |
|---|---|
| Provider Enumeration Date | 03/01/2010 |
| Last Update Date | 03/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508189879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Kim Fretty Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6989 Highlands Ln, Tyler, TX 75703 Phone: 903-561-7873 | |
Pediatric Dentistry Of Tyler, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3607 Old Jacksonville Rd, Tyler, TX 75701 Phone: 903-595-5476 | |