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TIMES SQUARE FAMILY DENTAL PA
NPI 1174954424
Dentist - General Practice in Tyler, TX

Active since December 11, 2013
5201 S BROADWAY AVE, SUITE 240, TYLER, TX 75703(903) 534-8110(903) 534-5510 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Times Square Family Dental Pa NPPES

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

TIMES SQUARE FAMILY DENTAL PA (NPI 1174954424) is a healthcare organization registered as a general practice in Tyler, Texas and active in the NPI registry since December 2013. The organization lists Kaivan Kevin Afkhami, President, as its authorized official.

NPPES Registry Identity

NPI1174954424
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIMES SQUARE FAMILY DENTAL PA
Location Address5201 S BROADWAY AVE, SUITE 240Tyler, TX 75703-3748
Mailing Address1801 Precinct Line Rd Ste AHurst, TX 76054-3171 · (817) 577-9200
Phone(903) 534-8110
Fax(903) 534-5510
Organization SubpartNo
Authorized OfficialKaivan Kevin AfkhamiPresident · (817) 577-9200
Enumeration DateDecember 11, 2013
✔ NPI 1174954424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 20467
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5201 S BROADWAY AVE, Tyler, TX 75703
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

SOUTHLAND LEGEND PHARMACY
Pharmacy (Community/Retail Pharmacy)
5201 S BROADWAY AVE, STE 100
TYLER, TX 75703
Smith County (903) 534-8218
TY BLACK DDS
Dentist
5201 S BROADWAY AVE, ST 240
TYLER, TX 75703
Smith County (903) 534-8110
ALLIED PAIN MANAGEMENT CLINIC P.A.
Family Medicine
5201 S BROADWAY AVE, SUITE 200
TYLER, TX 75703
Smith County (903) 595-6078
ALLIED PAIN MANAGEMENT CLINIC, P.A.
Chiropractor (Orthopedic)
5201 S BROADWAY AVE, STE 200
TYLER, TX 75703
Smith County (903) 595-6078
TYLER BEHAVIORAL HEALTH
Counselor (Professional)
5201 S BROADWAY AVE
TYLER, TX 75703
Smith County (214) 943-9431
DR. TY BRANDON BLACK DDS
Dentist (General Practice)
5201 S BROADWAY AVE, ST 240
TYLER, TX 75703
Smith County (903) 534-8110

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 Times Square Family Dental PA's NPI number?

The NPI number for Times Square Family Dental PA is 1174954424. It was assigned to this organization in the NPPES registry on December 11, 2013.

Where is Times Square Family Dental PA located?

Times Square Family Dental PA is located at 5201 S Broadway Ave Suite 240, Tyler, TX 75703. The listed phone number is (903) 534-8110.

What is Times Square Family Dental PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Times Square Family Dental PA was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.