St Paul Children's Medical Corporation
Pediatric Dental Clinic
132 S Horace Ave, Tyler
Texas, 75702-6159
903-593-7607 903-593-3965
Maps & DirectionsSt Paul Children's Medical Corporation is a Pediatric Dental Clinic in Tyler, Texas. It is located at 132 S Horace Ave, Tyler, TX and its contact number is 903-593-7607. The authorized person for St Paul Children's Medical Corporation is Chelsea Cohen
who is Director Of Clinic Operations of the clinic and their contact number is 903-871-0939.
St Paul Children's Medical Corporation 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:
St Paul Children's Medical Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | St Paul Children's Medical Corporation |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 132 S Horace Ave, Tyler,
Texas, 75702-6159 |
| Phone: | 903-593-7607 |
| Fax: | 903-593-3965 |
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: | Chelsea Cohen |
| Position: | Director Of Clinic Operations |
| Contact Number: | 903-871-0939 |
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 St Paul Children's Medical Corporation clinic are as mentioned below.
| NPI Number: | 1467689307 |
| NPI Enumeration Date: | 18 Jun, 2009 |
| NPI Last Update On: | 19 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Paul Children's Medical Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | 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 |
| 203763201 | Medicaid | Texas | |
| G6063601 | Other | Texas | Delta Dental- Chips |
| 203763202 | Other | Texas | Medicaid-cschn |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | St Paul Children's Medical Corporation
132 S Horace Ave,
Tyler, Texas |
| Zip: | 75702-6159 |
| Phone Number: | 903-593-7607 |
| Fax Number: | 903-593-3965 |
Patients can reach St Paul Children's Medical Corporation at
132 S Horace Ave, Tyler, Texas or can
call to book an appointment on 903-593-7607.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.