| Tyler Endodontics, Pllc | |
|
4605 Old Bullard Rd Tyler TX 75703-1232 | |
| (903) 939-3636 | |
| (903) 939-1687 |
| Full Name | Tyler Endodontics, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4605 Old Bullard Rd, Tyler, Texas |
| Authorized Official Name and Position | Tina Suzanne Stone (OFFICE MANAGER) |
| Authorized Official Contact | 9039393636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Endodontics, Pllc 4605 Old Bullard Rd Tyler TX 75703-1232 Ph: (903) 939-3636 | Tyler Endodontics, Pllc 4605 Old Bullard Rd Tyler TX 75703-1232 Ph: (903) 939-3636 |
| NPI Number | 1871620930 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 07/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871620930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (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 | |