Culberson R. Boren, D.d.s., P.a.
Pediatric Dental Clinic
7916 S Broadway Ave, Ste 150, Tyler
Texas, 75703-5274
903-581-2198 903-581-9571
Maps & DirectionsCulberson R. Boren, D.d.s., P.a. is a Pediatric Dental Clinic in Tyler, Texas. It is located at 7916 S Broadway Ave, Ste 150, Tyler, TX and its contact number is 903-581-2198. The authorized person for Culberson R. Boren, D.d.s., P.a. is Culberson Reeves Boren
who is Owner/ Dentist of the clinic and their contact number is 903-581-2198. The primary license number for Culberson R. Boren, D.d.s., P.a. is 13063 (Pediatric Dentistry) in Texas.
Culberson R. Boren, D.d.s., P.a. Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Culberson R. Boren, D.d.s., P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Culberson R. Boren, D.d.s., P.a. |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 7916 S Broadway Ave, Ste 150, Tyler,
Texas, 75703-5274 |
| Phone: | 903-581-2198 |
| Fax: | 903-581-9571 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Culberson Reeves Boren |
| Position: | Owner/ Dentist |
| Contact Number: | 903-581-2198 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Culberson R. Boren, D.d.s., P.a. clinic are as mentioned below.
| NPI Number: | 1033411962 |
| NPI Enumeration Date: | 29 Nov, 2010 |
| NPI Last Update On: | 14 Aug, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Culberson R. Boren, D.d.s., P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 13063 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 008045901 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Culberson R. Boren, D.d.s., P.a.
7916 S Broadway Ave, Ste 150
Tyler, Texas |
| Zip: | 75703-5274 |
| Phone Number: | 903-581-2198 |
| Fax Number: | 903-581-9571 |
Patients can reach Culberson R. Boren, D.d.s., P.a. at
7916 S Broadway Ave, Ste 150, Tyler, Texas or can
call to book an appointment on 903-581-2198.
Comments/ Reviews:
Read all the reviews posted for Culberson R. Boren, D.d.s., P.a. below. You may also share your own experience with Culberson R. Boren, D.d.s., P.a.. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.