Organization
PEDIATRIC DENTISTRY OF TYLER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D CARTER D.M.D (PRESIDENT)
(903) 595-5476
Entity
Organization
Contact information
Practice address
3607 OLD JACKSONVILLE RD, TYLER, TX 75701-8512
(903) 595-5476
Mailing address
3607 OLD JACKSONVILLE RD, TYLER, TX 75701-8512
(903) 595-5476
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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