# TYLER ENDODONTICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871620930
- **Authorized official:** JONATHAN CALEB ROSSALL DDS (PRESIDENT)
- **Authorized official phone:** (903) 939-3636

## Contact information

- **Practice address:** 4005 BROOKSIDE DRIVE, TYLER, TX 75701
- **Practice address phone:** (909) 939-3636
- **Practice address fax:** (903) 939-1687
- **Mailing address:** 4005 BROOKSIDE DRIVE, TYLER, TX 75701
- **Mailing address phone:** (909) 939-3636
- **Mailing address fax:** (903) 939-1687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 06/13/2025