PEDIATRIC DENTISTRY OF TYLER, PLLC
NPI 1083842629
Dentist - Pediatric Dentistry in Tyler, TX

Q: What is Pediatric Dentistry Of Tyler, PLLC's NPI number?

The NPI number for Pediatric Dentistry Of Tyler, PLLC is 1083842629. It was assigned to this organization in the NPPES registry on June 22, 2009.

Q: What is Pediatric Dentistry Of Tyler, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since June 22, 2009

3607 OLD JACKSONVILLE RD, TYLER, TX 75701(903) 595-5476 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Dentistry Of Tyler, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTISTRY OF TYLER, PLLC (NPI 1083842629) is a healthcare organization registered as a pediatric dentistry in Tyler, Texas and active in the NPI registry since June 2009. The organization lists John D Carter, President, as its authorized official.

NPPES Registry Identity

NPI1083842629

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTISTRY OF TYLER, PLLC

Location Address3607 OLD JACKSONVILLE RDTyler, TX 75701-8512

Mailing Address3607 Old Jacksonville RdTyler, TX 75701-8512 · (903) 595-5476

Phone(903) 595-5476

Organization SubpartNo

Authorized OfficialJohn D CarterPresident · (903) 595-5476

Enumeration DateJune 22, 2009

✔ NPI 1083842629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3607 OLD JACKSONVILLE RD, Tyler, TX 75701

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IKIDS PEDIATRIC DENTISTRY TYLER, PLLC

Dentist (Pediatric Dentistry)

3607 OLD JACKSONVILLE RD
TYLER, TX 75701

Smith County (903) 595-5476

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dentistry Of Tyler, PLLC's NPI number?

The NPI number for Pediatric Dentistry Of Tyler, PLLC is 1083842629. It was assigned to this organization in the NPPES registry on June 22, 2009.

Where is Pediatric Dentistry Of Tyler, PLLC located?

Pediatric Dentistry Of Tyler, PLLC is located at 3607 Old Jacksonville Rd, Tyler, TX 75701. The listed phone number is (903) 595-5476.

What is Pediatric Dentistry Of Tyler, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of Tyler, PLLC was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.