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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