Affordable Dentist Near Me Tyler

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AFFORDABLE DENTIST NEAR ME TYLER

Doing business as

Affordable dentist near me Tyler

Practice address

601 E Dodge St
Tyler, TX 75701-1812

Phone

(903) 508-5750

NPI assigned

Sep 20, 2024

Last updated

Oct 18, 2024By 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

Cintia Rodaway

Title

Manager

Phone

(903) 508-5750

Specialties & licenses 2

Addresses

Other names 1

• Affordable dentist near me Tyler Doing business as

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1356168538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E DODGE ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E DODGE ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011812",
            "telephone_number": "903-508-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTIST NEAR ME TYLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "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": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable dentist near me Tyler",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affordable dentist near me Tyler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.