East Texas Orthodontic Specialists is a Orthodontics and Dentofacial Clinic in Tyler, Texas. It is located at 212 Grande Blvd Ste B226, Tyler, TX and its contact number is 903-509-4422. The authorized person for East Texas Orthodontic Specialists is Dr. Randolph William Sturrup
who is Orthodontist of the clinic and their contact number is 903-509-4422. The primary license number for East Texas Orthodontic Specialists is 8352 (Orthodontics and Dentofacial Orthopedics) in Texas. East Texas Orthodontic Specialists Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
East Texas Orthodontic Specialists Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
East Texas Orthodontic Specialists
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
212 Grande Blvd Ste B226, Tyler, Texas, 75703-4231
Phone:
903-509-4422
Fax:
903-509-4420
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:
Dr. Randolph William Sturrup
Position:
Orthodontist
Contact Number:
903-509-4422
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 East Texas Orthodontic Specialists clinic are as mentioned below.
NPI Number:
1790902195
NPI Enumeration Date:
19 Apr, 2007
NPI Last Update On:
13 Aug, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Texas Orthodontic Specialists are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
8352
Texas
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
East Texas Orthodontic Specialists 212 Grande Blvd Ste B226, Tyler, Texas
Zip:
75703-4231
Phone Number:
903-509-4422
Fax Number:
903-509-4420
Patients can reach East Texas Orthodontic Specialists at 212 Grande Blvd Ste B226, Tyler, Texas or can call to book an appointment on 903-509-4422. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.