| Culberson Reeves Boren, DDS | |
|
7916 S Broadway Ave, Ste 150, Tyler, TX 75703-5274 | |
| (903) 581-2198 | |
| (903) 581-9571 |
| Full Name | Culberson Reeves Boren |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7916 S Broadway Ave, Tyler, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497837587 | NPI | - | NPPES |
| 008045901 | Medicaid | TX | |
| 751899269 | Other | TX | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 13063 (Texas) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 013063 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Culberson Reeves Boren, DDS 7916 S Broadway Ave, Ste 150, Tyler, TX 75703-5274 Ph: (903) 581-2198 | Culberson Reeves Boren, DDS 7916 S Broadway Ave, Ste 150, Tyler, TX 75703-5274 Ph: (903) 581-2198 |
Dr. Larry Mike Bloodsworth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 Magnolia Drive, Tyler, TX 75701 Phone: 903-595-2707 | |
Dr. Luke Jacob Dlabal Iii, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5605 Old Bullard Rd, Tyler, TX 75703 Phone: 903-747-3919 | |
Dr. Marcus William Worden, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2336 Aberdeen Dr, Tyler, TX 75703 Phone: 903-581-1646 | |
Larry Wayne Murph, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3201 Paluxy Dr, Tyler, TX 75701 Phone: 903-593-5161 Fax: 903-593-8359 | |
Dr. David Frank Nichols, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4700 Kinsey Drive, Tyler, TX 75703 Phone: 903-561-7604 Fax: 903-561-7388 | |
Jung Won Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 Old Grande Blvd Ste B224, Tyler, TX 75703 Phone: 903-509-0505 | |
Dr. Donna Gordon Lindsey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5540 Old Jacksonville Hwy, Tyler, TX 75703 Phone: 903-597-2121 Fax: 903-581-7776 |