| Dentistry For Children | |
|
7916 S Broadway Ave Ste 150 Tyler TX 75703-5274 | |
| (903) 581-2198 | |
| (903) 581-9571 |
| Full Name | Dentistry For Children |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7916 S Broadway Ave, Tyler, Texas |
| Authorized Official Name and Position | Culberson Reeves Boren (OWNER/ DENTIST) |
| Authorized Official Contact | 9035812198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children 7916 S Broadway Ave Ste 150 Tyler TX 75703-5274 Ph: (903) 581-2198 | Dentistry For Children 7916 S Broadway Ave Ste 150 Tyler TX 75703-5274 Ph: (903) 581-2198 |
| NPI Number | 1033411962 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 08/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033411962 | NPI | - | NPPES |
| 008045901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 13063 (Texas) | Primary |
Best Dental Care @ Tyler Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3310 S Southwest Loop 323, Tyler, TX 75701 Phone: 903-593-3333 | |
Cypress Point Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 Grande Blvd, Tyler, TX 75703 Phone: 903-266-9118 Fax: 903-266-9126 | |
Kendall Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2124 S Donnybrook Ave, Tyler, TX 75701 Phone: 903-597-2201 Fax: 903-597-2282 | |
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 | |
Fresh Dental & Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3873 Hwy 64 W, Tyler, TX 75704 Phone: 972-869-3789 |