Active NPI
C & C Dental Family PLLC
Doing business as Cumberland Trails Family Dental
- General Practice Dentistry
- Tyler, TX
National Provider Identifier
1356168272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- C & C DENTAL FAMILY PLLC
- Doing business as
- Cumberland Trails Family Dental
- Practice address
- 1310 W Cumberland Rd
Tyler, TX 75703-5483 - Phone
- (903) 581-5500
- Fax
- (903) 581-5510
- NPI assigned
- Sep 23, 2024
- Last updated
- Sep 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meagan Williams
- Title
- Office Manager
- Phone
- (903) 581-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1310 W Cumberland Rd
Tyler, TX 75703-5483
Mailing address
1310 W Cumberland Rd
Tyler, TX 75703-5483
Phone (903) 581-5500
Other names 1
- Cumberland Trails Family Dental
National Provider Directory
National Provider DirectoryLocations
1310 W Cumberland Rd
Tyler, TX 75703
Phone (903) 581-5500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Tyler, TX
- NPI 1225438005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1356168272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W CUMBERLAND RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757035483",
"telephone_number": "903-581-5500",
"fax_number": "903-581-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W CUMBERLAND RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757035483",
"telephone_number": "903-581-5500",
"fax_number": "903-581-5510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C & C DENTAL FAMILY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "MEAGAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "903-581-5500"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cumberland Trails Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.