East Texas Dental Group, Llc

  • 1750743167 NPI Number
  • |
  • Actived: 8 years ago
  • |
East Texas Dental Group, Llc is a health care provider based in Tyler, TX. The NPI Number is 1750743167 and it has been active since 8 years ago. The specialty is Dentist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Dentist services, East Texas Dental Group, Llc is an excellent option. We are here to help you get the care you need.

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Overview of East Texas Dental Group, Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 03/24/2016
  • Last updated: 03/24/2016

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 31033
  • License State: TX

Provider Mailing Address

  • Address: 212 Old Grande Blvd
    Suite B224
    Tyler, TX 75703
  • Phone: 903-509-0505
  • Fax: 903-509-0506

Provider Practice Location

  • Address: 212 Old Grande Blvd
    B224
    Tyler, TX 75703
  • Phone: 903-509-0505
  • Fax: 903-509-0506

Authorized Official

  • Name: DR. Young T Shim DMD
  • Position/Title: Owner
  • Telephone Number: 903-509-0505

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 31033
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 352003301
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TX
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for East Texas Dental Group, Llc?
  • A: The npi number for East Texas Dental Group, Llc is 1750743167.
  • Q: What are East Texas Dental Group, Llc's specialties?
  • A: East Texas Dental Group, Llc's specialties are Dentist and different specialities.
  • Q: Where is East Texas Dental Group, Llc business practice location?
  • A: East Texas Dental Group, Llc business practice location is 212 Old Grande Blvd, Tyler, TX 75703.
  • Q: How to contact East Texas Dental Group, Llc?
  • A: You can contact East Texas Dental Group, Llc via 903-509-0505.
  • Q: What is the authorized official for East Texas Dental Group, Llc?
  • A: The authorized office name is DR. Young T Shim DMD with position/title is Owner and you can reach the authorized official via phone number 9035090505.
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