Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Dentistry of Tyler, PLLC

Organization Pediatric Dentistry · NPI 1083842629

Pediatric Dentistry of Tyler, PLLC is a Pediatric Dentistry in Tyler, Texas. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3607 Old Jacksonville Rd
Tyler, TX 75701-8512
Phone: (903) 595-5476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1083842629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Carter — President · (903) 595-5476
NPI enumeratedJune 22, 2009
Last updated in NPPESJune 22, 2009
Mailing address3607 Old Jacksonville Rd, Tyler, TX 75701-8512

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