Organization
TYLER ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ROBERT WALDER DDS, MS (OWNER)
(903) 484-4785
Entity
Organization
Contact information
Practice address
6710 S BROADWAY AVE STE 200, TYLER, TX 75703-4752
(903) 231-2933
(903) 623-5015
Mailing address
6710 S BROADWAY AVE STE 200, TYLER, TX 75703-4752
(903) 231-2933
(903) 623-5015
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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