Dylan Patrick, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

31023 Issued in TX

Practice address

419 W Southwest Loop 323 Ste 300
Tyler, TX 75701-7062

Phone

(903) 251-9292

Fax

(903) 207-8642

NPI assigned

Jun 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dpatrick495709@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dylan Patrick DDS, PLLC

  dba Storybook Smiles

  • Pediatric Dentistry
  • Tyler, TX
  • NPI 1871090860
  NPD Authorized official
• All About Smiles Dentistry PC

  • General Practice Dentistry
  • Durant, OK
  • NPI 1831384726
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1952782724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W SOUTHWEST LOOP 323 STE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017062",
            "telephone_number": "903-251-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W SOUTHWEST LOOP 323 STE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017062",
            "telephone_number": "903-251-9292",
            "fax_number": "903-207-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "31023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sohini Patel
• Pathology Associates of Tyler PA
• Pathology Associates of Tyler PA
• Patient First Health PLLC
• Carlea Beth Patrick
• Todd A Patrick, MD PHD
• Patriot Home Health LLC
• Dawn Electra Pattee, RPH
• Arnett Patterson
• Diana Gaddy Patterson, P.A.C

• 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 Jun 11, 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.