Organization
TYLER ENDODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CALEB ROSSALL DDS (PRESIDENT)
(903) 939-3636
Entity
Organization
Contact information
Practice address
4005 BROOKSIDE DRIVE, TYLER, TX 75701
(909) 939-3636
(903) 939-1687
Mailing address
4005 BROOKSIDE DRIVE, TYLER, TX 75701
(909) 939-3636
(903) 939-1687
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
06/13/2025
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