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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.