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Organization
TYLER PERIODONTICS, PLLC
Active
Organization
TYLER PERIODONTICS, PLLC
Active
Other names
John E. Adcock DDS MS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA WORTHEN (BUSINESS MANAGER)
(903) 581-2900
Entity
Organization
Contact information
Practice address
3805 BROOKSIDE DR, TYLER, TX 75701-9421
(903) 581-2900
(903) 509-0160
Mailing address
3805 BROOKSIDE DR, TYLER, TX 75701-9421
(903) 581-2900
(903) 509-0160
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
10911
TX
1223P0300X
Periodontics
Primary
30701
TX
Other
Enumeration date
04/06/2016
Last updated
12/22/2016
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