St Paul Dental Clinic 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 Dental Clinic is David Young
who is Ceo of the clinic and their contact number is 903-531-9455. St Paul Dental Clinic 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 Dental Clinic 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 Dental Clinic
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:
David Young
Position:
Ceo
Contact Number:
903-531-9455
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 Dental Clinic clinic are as mentioned below.
NPI Number:
1467689307
NPI Enumeration Date:
18 Jun, 2009
NPI Last Update On:
08 Mar, 2011
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 Dental Clinic 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 Dental Clinic 132 S Horace Ave, Tyler, Texas
Zip:
75702-6159
Phone Number:
903-593-7607
Fax Number:
903-593-3965
Patients can reach St Paul Dental Clinic at 132 S Horace Ave, Tyler, Texas or can call to book an appointment on 903-593-7607. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.