Organization Active NPI

Tyler Dentures and Dental Implants

  • General Practice Dentistry
  • Tyler, TX
National Provider Identifier
1063364644
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TYLER DENTURES AND DENTAL IMPLANTS
Practice address
3864 State Highway 64 W
Tyler, TX 75704-6924
Phone
(903) 508-5750
NPI assigned
Feb 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cintia Rodaway
Title
Manager
Phone
(903) 508-5750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3864 State Highway 64 W
Tyler, TX 75704-6924

Mailing address

3864 State Highway 64 W
Tyler, TX 75704-6924

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1063364644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3864 STATE HIGHWAY 64 W",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757046924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 STATE HIGHWAY 64 W",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757046924",
            "telephone_number": "903-508-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER DENTURES AND DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "RODAWAY",
        "authorized_official_first_name": "CINTIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-508-5750"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.