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PINE CREEK DENTAL, PLLC
NPI 1639549454
Dentist - General Practice in Tyler, TX

Active since October 06, 2015
7925 S BROADWAY AVE STE 300, TYLER, TX 75703(903) 561-2232 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pine Creek Dental, Pllc NPPES

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

PINE CREEK DENTAL, PLLC (NPI 1639549454) is a healthcare organization registered as a general practice in Tyler, Texas and active in the NPI registry since October 2015. The organization lists Christopher Tutt, Dentist, as its authorized official.

NPPES Registry Identity

NPI1639549454
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePINE CREEK DENTAL, PLLC
Location Address7925 S BROADWAY AVE STE 300Tyler, TX 75703-5227
Mailing Address7925 S Broadway Ave Ste 300Tyler, TX 75703-5227 · (903) 561-2232
Phone(903) 561-2232
Organization SubpartNo
Authorized OfficialChristopher TuttDentist · (903) 561-2232
Enumeration DateOctober 6, 2015
Last NPPES UpdateJanuary 6, 2016
✔ NPI 1639549454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
7925 S BROADWAY AVE STE 300, 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

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

CASSANDRA ESCOBEDO
Dentist
7925 S BROADWAY AVE STE 300
TYLER, TX 75703
Smith County (903) 561-2232

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 Pine Creek Dental, PLLC's NPI number?

The NPI number for Pine Creek Dental, PLLC is 1639549454. It was assigned to this organization in the NPPES registry on October 6, 2015.

Where is Pine Creek Dental, PLLC located?

Pine Creek Dental, PLLC is located at 7925 S Broadway Ave Ste 300, Tyler, TX 75703. The listed phone number is (903) 561-2232.

What is Pine Creek Dental, PLLC'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 Pine Creek Dental, PLLC was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.