Community Health Clinics Of Northeast Texas
Pediatric Dental Clinic
928 N Glenwood Blvd, Tyler
Texas, 75702-5055
903-526-4900 903-526-4907
Maps & DirectionsCommunity Health Clinics Of Northeast Texas is a Pediatric Dental Clinic in Tyler, Texas. It is located at 928 N Glenwood Blvd, Tyler, TX and its contact number is 903-526-4900. The authorized person for Community Health Clinics Of Northeast Texas is Mr. Bryan F Wilder
who is Cfo of the clinic and their contact number is 903-533-7400.
Community Health Clinics Of Northeast Texas 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:
Community Health Clinics Of Northeast Texas Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Community Health Clinics Of Northeast Texas |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 928 N Glenwood Blvd, Tyler,
Texas, 75702-5055 |
| Phone: | 903-526-4900 |
| Fax: | 903-526-4907 |
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: | Mr. Bryan F Wilder |
| Position: | Cfo |
| Contact Number: | 903-533-7400 |
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 Community Health Clinics Of Northeast Texas clinic are as mentioned below.
| NPI Number: | 1275713976 |
| NPI Enumeration Date: | 09 Nov, 2007 |
| NPI Last Update On: | 21 Jun, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Community Health Clinics Of Northeast Texas are as mentioned below.
| Specialization | License Number | State | Status | |
| Federally Qualified Health Center (FQHC) | | | Primary | |
| Pediatric Dentistry | | | Secondary | |
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 |
| 1383606-17 | 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: | Community Health Clinics Of Northeast Texas
928 N Glenwood Blvd,
Tyler, Texas |
| Zip: | 75702-5055 |
| Phone Number: | 903-533-7400 |
| Fax Number: | 903-533-7409 |
Patients can reach Community Health Clinics Of Northeast Texas at
928 N Glenwood Blvd, Tyler, Texas or can
call to book an appointment on 903-526-4900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.