BOOZER DENTAL WORKS
NPI 1508046129
Dentist - Pediatric Dentistry in Tyler, TX

Active since November 12, 2007
5540 OLD JACKSONVILLE HWY, TYLER, TX 75703(903) 597-2121(903) 581-7776 Get Directions Write a Review

NPPES record last updated: November 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boozer Dental Works NPPES

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

BOOZER DENTAL WORKS (NPI 1508046129) is a healthcare organization registered as a pediatric dentistry in Tyler, Texas and active in the NPI registry since November 2007. The organization lists Kent B Boozer, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1508046129
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKENT B BOOZER DDS PA
Location Address5540 OLD JACKSONVILLE HWYTyler, TX 75703-3378
Mailing Address5540 Old Jacksonville HwyTyler, TX 75703-3378 · (903) 597-2121 · Fax (903) 581-7776
Fax(903) 581-7776
Organization SubpartNo
Authorized OfficialKent B BoozerDentist/owner · (903) 597-2121
Enumeration DateNovember 12, 2007
NPI 1508046129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 20107
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.
5540 OLD JACKSONVILLE HWY, Tyler, TX 75703

Other Names 1

Doing Business AsBoozer Dental Works

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Dentist (General Practice)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (General Practice)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (General Practice)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (General Practice)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (General Practice)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (Pediatric Dentistry)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703
Dentist (General Practice)
5540 OLD JACKSONVILLE HWY
TYLER, TX 75703

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 Kent B Boozer Dds PA's NPI number?

The NPI number for Kent B Boozer Dds PA is 1508046129. It was assigned to this organization in the NPPES registry on November 12, 2007. The provider is doing business as Boozer Dental Works.

Where is Kent B Boozer Dds PA located?

Kent B Boozer Dds PA is located at 5540 Old Jacksonville Hwy, Tyler, TX 75703. The listed phone number is (903) 597-2121.

What is Kent B Boozer Dds PA'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 Kent B Boozer Dds PA was last updated on November 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.