Professional Dental Alliance Of Tx 43004 Pllc is a Dental Clinic in Tyler, Texas. It is located at 212 Old Grande Blvd Ste B224, Tyler, TX and its contact number is 903-509-0505. The authorized person for Professional Dental Alliance Of Tx 43004 Pllc is Lauren Howard
who is Credentialing Specialist of the clinic and their contact number is 757-576-5479.
Professional Dental Alliance Of Tx 43004 Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Professional Dental Alliance Of Tx 43004 Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Professional Dental Alliance Of Tx 43004 Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 212 Old Grande Blvd Ste B224, Tyler,
Texas, 75703-4277 |
| Phone: | 903-509-0505 |
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: | Lauren Howard |
| Position: | Credentialing Specialist |
| Contact Number: | 757-576-5479 |
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 Professional Dental Alliance Of Tx 43004 Pllc clinic are as mentioned below.
| NPI Number: | 1093329534 |
| NPI Enumeration Date: | 02 Sep, 2020 |
| NPI Last Update On: | 02 Sep, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Professional Dental Alliance Of Tx 43004 Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | 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: | Professional Dental Alliance Of Tx 43004 Pllc
11 S Mill St,
New Castle, Pennsylvania |
| Zip: | 16101-3680 |
| Phone Number: | -- |
Patients can reach Professional Dental Alliance Of Tx 43004 Pllc at
212 Old Grande Blvd Ste B224, Tyler, Texas or can
call to book an appointment on 903-509-0505.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.