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

Times Square Family Dental PA

Organization General Practice Dentistry · NPI 1174954424

Times Square Family Dental PA is a General Practice Dentistry in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5201 S Broadway Ave Ste 240
Tyler, TX 75703-3748
Phone: (903) 534-8110
Fax: (903) 534-5510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 20467 (TX)

Record details

NPI number1174954424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaivan Afkhami — President · (817) 577-9200
NPI enumeratedDecember 11, 2013
Last updated in NPPESDecember 11, 2013
Mailing address1801 Precinct Line Rd Ste A, Hurst, TX 76054-3171

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