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ST PAUL CHILDREN'S MEDICAL CORPORATION
NPI 1467689307
Dentist - Pediatric Dentistry in Tyler, TX

Active since June 18, 2009
132 S HORACE AVE, TYLER, TX 75702(903) 593-7607(903) 593-3965 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Paul Children's Medical Corporation NPPES

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

ST PAUL CHILDREN'S MEDICAL CORPORATION (NPI 1467689307), doing business as Bethesda Pediatrics, is a healthcare organization registered as a pediatric dentistry in Tyler, Texas and active in the NPI registry since June 2009. The organization lists Chelsea Cohen, Director Of Clinic Operations, as its authorized official.

NPPES Registry Identity

NPI1467689307
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameST PAUL CHILDREN'S MEDICAL CORPORATION
Location Address132 S HORACE AVETyler, TX 75702-6159
Mailing Address132 S Horace AveTyler, TX 75702-6159 · (903) 593-7607 · Fax (903) 593-3965
Phone(903) 593-7607
Fax(903) 593-3965
Organization SubpartNo
Authorized OfficialChelsea CohenDirector Of Clinic Operations · (903) 871-0939
Enumeration DateJune 18, 2009
Last NPPES UpdateFebruary 19, 2025
NPPES CertifiedFebruary 19, 2025
✔ NPI 1467689307 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.
132 S HORACE AVE, Tyler, TX 75702
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Other Names 1

Doing Business AsBethesda Pediatrics

Other Identifiers 3

Medicaid203763201TX
OtherG6063601TX · Delta Dental- Chips
Other203763202TX · Medicaid-cschn

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

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

JIMMY GLYNN TOMPKINS DDS
Dentist (General Practice)
132 S HORACE AVE
TYLER, TX 75702
Smith County (903) 526-4900
JUSTIN B JONES DDS
Dentist (Dental Public Health)
132 S HORACE AVE
TYLER, TX 75702
Smith County (903) 526-4900

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 St Paul Children's Medical Corporation's NPI number?

The NPI number for St Paul Children's Medical Corporation is 1467689307. It was assigned to this organization in the NPPES registry on June 18, 2009. The provider is doing business as Bethesda Pediatrics.

Where is St Paul Children's Medical Corporation located?

St Paul Children's Medical Corporation is located at 132 S Horace Ave, Tyler, TX 75702. The listed phone number is (903) 593-7607.

What is St Paul Children's Medical Corporation's specialty?

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

What insurance does St Paul Children's Medical Corporation accept?

Health plans from DentaQuest USA Insurance Company, Inc. list St Paul Children's Medical Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Paul Children's Medical Corporation was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.