Dentistry of Texas, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DENTISTRY OF TEXAS, PC

Practice address

1932 E Southeast Loop 323
Tyler, TX 75701-8337

Phone

(770) 916-9000

NPI assigned

Mar 1, 2010

Last updated

Mar 1, 2010By 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. Paul O Walker, DDS, MS

Title

President

Phone

(770) 916-5028

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1508189879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GALLERIA PKWY SE STE 800",
            "address_2": "ATTN; CHRIS WOODS",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396413",
            "telephone_number": "770-916-5028",
            "fax_number": "678-247-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 E SOUTHEAST LOOP 323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018337",
            "telephone_number": "770-916-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF TEXAS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-916-5028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Denman
• Luequetta Dennis-Kelly
• Robert Wayne Dennis, MD
• Lester Jay Denson Jr.
• Melinda Denson
• Samantha P Denton, PA-C
• Department of State Health Services (Texas DSHS - HSR 4&5 Tyler)
• Dept of Assistive & Rehab Serv - Tyler Field Headquarters
• Dermatology and Laser Center of Tyler, P.a.
• Dermatology of East Texas PA

• Pediatric Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.