Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ty Black DDS

Organization Dentist · NPI 1437383015

Ty Black DDS provides Dentist services in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009

Practice location Address checks out

5201 S Broadway Ave St 240
Tyler, TX 75703 Not confirmed with CMS for 17 years — call before visiting
Phone: (903) 534-8110
Fax: (903) 534-5510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 20648 (TX)

Record details

NPI number1437383015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Black — Off Mgr · (903) 534-8110
NPI enumeratedMay 11, 2009
Last updated in NPPESMay 11, 2009
Mailing address5201 S Broadway Ave, St 240, Tyler, TX 75703-3748

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