Culberson Reeves Boren is a Tyler, Texas based Pediatric Dentist who is specialized in Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Culberson Reeves Boren is 013063 for Pediatric Dentistry in Texas. His current practice location is 7916 S Broadway Ave, Ste 150, Tyler. Patients can reach him at 903-581-2198.
Culberson Reeves Boren 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 Profile:
Culberson Reeves Boren speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Culberson Reeves Boren
Specialization:
Pediatric Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
7916 S Broadway Ave, Ste 150, Tyler, Texas, 75703-5274
Phone:
903-581-2198
Fax:
903-581-9571
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 are as mentioned below.
NPI Number:
1497837587
NPI Enumeration Date:
19 Oct, 2006
NPI Last Update On:
16 Aug, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Culberson Reeves Boren are as mentioned below.
License Number
Specialization
State
Status
013063
Pediatric Dentistry
Texas
Primary
13063
Pediatric Dentistry
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Culberson Reeves Boren such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
008045901
Medicaid
Texas
751899269
Other
Texas
TAX ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7916 S Broadway Ave, Ste 150 Tyler, Texas
Zip:
75703-5274
Phone Number:
903-581-2198
Fax Number:
903-581-9571
Patients can reach Culberson Reeves Boren at 7916 S Broadway Ave, Ste 150, Tyler, Texas or can call to book an appointment on 903-581-2198. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.