Dr. Kent B Boozer 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 Dr. Kent B Boozer is
20107 for Pediatric Dentistry in Texas. His current practice location is
5540 Old Jacksonville Hwy, Tyler. Patients can reach him at
903-597-2121.
Dr. Kent B Boozer 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:
Dr. Kent B Boozer 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: | Dr. Kent B Boozer |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 5540 Old Jacksonville Hwy, Tyler,
Texas, 75703-1633 |
| Phone: | 903-597-2121 |
| Fax: | 903-581-7776 |
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: | 1578502878 |
| NPI Enumeration Date: | 05 Jun, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kent B Boozer are as mentioned below.
| License Number | Specialization | State | Status | |
| 20107 | Pediatric Dentistry | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kent B Boozer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 009556401 | Medicaid | Texas | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 117 Lindsey Ln,
Tyler, Texas |
| Zip: | 75701-1633 |
| Phone Number: | 903-596-8978 |
| Fax Number: | 903-581-7776 |
Patients can reach Dr. Kent B Boozer at
5540 Old Jacksonville Hwy, Tyler, Texas or can
call to book an appointment on 903-597-2121.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.