EAST TEXAS DENTAL ASSOCIATES, P.A.
NPI 1750604211
Dentist in Tyler, TX

Active since March 11, 2010
212 OLD GRANDE BLVD, SUITE B224, TYLER, TX 75703(903) 509-0505(903) 509-0506 Get Directions Write a Review

NPPES record last updated: March 11, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About East Texas Dental Associates, P.a. NPPES

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

EAST TEXAS DENTAL ASSOCIATES, P.A. (NPI 1750604211) is a healthcare organization registered as a dentist in Tyler, Texas and active in the NPI registry since March 2010. The organization lists Steve W Lebo, Owner, as its authorized official.

NPPES Registry Identity

NPI1750604211
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameEAST TEXAS DENTAL ASSOCIATES, P.A.
Location Address212 OLD GRANDE BLVD, SUITE B224Tyler, TX 75703-4264
Mailing Address212 Old Grande Blvd, Suite B224Tyler, TX 75703-4264 · (903) 509-0505 · Fax (903) 509-0506
Fax(903) 509-0506
Organization SubpartNo
Authorized OfficialSteve W LeboOwner · (903) 509-0505
Enumeration DateMarch 11, 2010
NPI 1750604211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 12586
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.

212 OLD GRANDE BLVD, Tyler, TX 75703

Other Identifiers 2

Medicaid007885903TX
Other1902910920TX · Individual Npi

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


The following 1 provider is registered at the same or a nearby location.

Dentist
212 OLD GRANDE BLVD, B224
TYLER, TX 75703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750604211, enumerated as an "organization" on March 11, 2010.

The provider is located at 212 OLD GRANDE BLVD SUITE B224 TYLER, TX 75703 and the phone number is (903) 509-0505.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.