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TY BLACK DDS
NPI 1437383015
Dentist in Tyler, TX

Active since May 11, 2009
5201 S BROADWAY AVE, ST 240, TYLER, TX 75703(903) 534-8110(903) 534-5510 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ty Black Dds NPPES

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

TY BLACK DDS (NPI 1437383015) is a healthcare organization registered as a dentist in Tyler, Texas and active in the NPI registry since May 2009. The organization lists Dana Black, Off Mgr, as its authorized official.

NPPES Registry Identity

NPI1437383015
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTY BLACK DDS
Location Address5201 S BROADWAY AVE, ST 240Tyler, TX 75703
Mailing Address5201 S Broadway Ave, St 240Tyler, TX 75703-3748 · (903) 534-8110 · Fax (903) 534-5510
Phone(903) 534-8110
Fax(903) 534-5510
Organization SubpartNo
Authorized OfficialDana BlackOff Mgr · (903) 534-8110
Enumeration DateMay 11, 2009
✔ NPI 1437383015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 20648
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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.

TIMES SQUARE FAMILY DENTAL PA
Dentist (General Practice)
5201 S BROADWAY AVE, SUITE 240
TYLER, TX 75703
Smith County (903) 534-8110
SOUTHLAND LEGEND PHARMACY
Pharmacy (Community/Retail Pharmacy)
5201 S BROADWAY AVE, STE 100
TYLER, TX 75703
Smith County (903) 534-8218
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 Ty Black Dds's NPI number?

The NPI number for Ty Black Dds is 1437383015. It was assigned to this organization in the NPPES registry on May 11, 2009.

Where is Ty Black Dds located?

Ty Black Dds is located at 5201 S Broadway Ave St 240, Tyler, TX 75703. The listed phone number is (903) 534-8110.

What is Ty Black Dds's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Ty Black Dds was last updated on May 11, 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.