Tyler Denture Pros, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TYLER DENTURE PROS, PLLC

Practice address

921 Shiloh Rd Ste C100
Tyler, TX 75703-1405

Phone

(903) 258-6099

NPI assigned

Dec 1, 2023

Last updated

Dec 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Khrystine Prine, DMD

Title

Owner

Phone

(251) 591-8670

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1154197085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SHILOH RD STE C100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031405",
            "telephone_number": "903-258-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SHILOH RD STE C100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031405",
            "telephone_number": "903-258-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER DENTURE PROS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "PRINE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "KHRYSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-591-8670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Center for Dental Health, PLLC
• Tyler Chiropractic, Inc
• Tyler Community Home Care, LLC
• Tyler Counseling & Assessment Center
• Tyler Counseling Services LLC (Crosspoint Counseling Services)
• Tyler Dentures and Dental Implants
• Tyler Endodontics, PLLC
• Tyler Endoscopy Center, LTD
• Tyler ER Operations, LLC
• Tyler ER Operations, LLC

• Dental Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.