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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.