| Tyler Orthodontics, PLLC | |
|
6710 S Broadway Ave Ste 200 Tyler TX 75703-4752 | |
| (903) 231-2933 | |
| (903) 623-5015 |
| Full Name | Tyler Orthodontics, PLLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6710 S Broadway Ave Ste 200, Tyler, Texas |
| Authorized Official Name and Position | Benjamin Robert Walder (OWNER) |
| Authorized Official Contact | 9034844785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Orthodontics, PLLC 6710 S Broadway Ave Ste 200 Tyler TX 75703-4752 Ph: (903) 231-2933 | Tyler Orthodontics, PLLC 6710 S Broadway Ave Ste 200 Tyler TX 75703-4752 Ph: (903) 231-2933 |
| NPI Number | 1134050156 |
|---|---|
| Provider Enumeration Date | 05/27/2026 |
| Last Update Date | 05/27/2026 |
| Certification Date | 05/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134050156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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