| Titan Dental 1 Pllc | |
|
1011 W Grande Blvd Ste 300 Tyler TX 75703-6138 | |
| (903) 944-5284 | |
| Not Available |
| Full Name | Titan Dental 1 Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1011 W Grande Blvd Ste 300, Tyler, Texas |
| Authorized Official Name and Position | Melissa Hernandez (REGIONAL MANAGER) |
| Authorized Official Contact | 4698030014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Titan Dental 1 Pllc 1011 W Grande Blvd Ste 300 Tyler TX 75703-6138 Ph: (903) 944-5284 | Titan Dental 1 Pllc 1011 W Grande Blvd Ste 300 Tyler TX 75703-6138 Ph: (903) 944-5284 |
| NPI Number | 1760211189 |
|---|---|
| Provider Enumeration Date | 08/01/2024 |
| Last Update Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760211189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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