Ty Black Dds is a Dental Clinic in Tyler, Texas. It is located at 5201 S Broadway Ave, St 240, Tyler, TX and its contact number is 903-534-8110. The authorized person for Ty Black Dds is Dana Black
who is Off Mgr of the clinic and their contact number is 903-534-8110. Other organizations associated with this clinic are Times Square Family Dental Pa, Ty Black Dds, The primary license number for Ty Black Dds is 20648 (Dentist) in Texas.
Ty Black Dds Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Ty Black Dds Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ty Black Dds |
| Specialization: | Dentistry |
| Clinic Address: | 5201 S Broadway Ave, St 240, Tyler,
Texas, 75703 |
| Phone: | 903-534-8110 |
| Fax: | 903-534-5510 |
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: | Dana Black |
| Position: | Off Mgr |
| Contact Number: | 903-534-8110 |
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 Ty Black Dds clinic are as mentioned below.
| NPI Number: | 1437383015 |
| NPI Enumeration Date: | 11 May, 2009 |
| NPI Last Update On: | 11 May, 2009 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Times Square Family Dental Pa | General Practice Dentistry | 1174954424 |
| Ty Black Dds | Dentistry | 1437383015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ty Black Dds are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 20648 | 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: | Ty Black Dds
5201 S Broadway Ave, St 240
Tyler, Texas |
| Zip: | 75703-3748 |
| Phone Number: | 903-534-8110 |
| Fax Number: | 903-534-5510 |
Patients can reach Ty Black Dds at
5201 S Broadway Ave, St 240, Tyler, Texas or can
call to book an appointment on 903-534-8110.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.