EAST TEXAS ORTHODONTIC SPECIALISTS
NPI 1790902195
Dentist - Orthodontics and Dentofacial Orthopedics in Tyler, TX

Active since April 19, 2007
212 GRANDE BLVD STE B226, TYLER, TX 75703(903) 509-4422(903) 509-4420 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About East Texas Orthodontic Specialists NPPES

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

EAST TEXAS ORTHODONTIC SPECIALISTS (NPI 1790902195) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Tyler, Texas and active in the NPI registry since April 2007. The organization lists Randolph William Sturrup, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1790902195
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameORTHODONTIC CENTERS OF TEXAS, INC
Location Address212 GRANDE BLVD STE B226Tyler, TX 75703-4231
Mailing Address212 Grande Blvd Ste B226Tyler, TX 75703-4231 · (903) 509-4422 · Fax (903) 509-4420
Fax(903) 509-4420
Organization SubpartNo
Authorized OfficialRandolph William SturrupOrthodontist · (903) 509-4422
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 13, 2008
NPI 1790902195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in TX · 8352
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

212 GRANDE BLVD STE B226, Tyler, TX 75703

Other Names 1

Doing Business AsEast Texas Orthodontic Specialists

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

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 Orthodontic Centers Of Texas, Inc's NPI number?

The NPI number for Orthodontic Centers Of Texas, Inc is 1790902195. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as East Texas Orthodontic Specialists.

Where is Orthodontic Centers Of Texas, Inc located?

Orthodontic Centers Of Texas, Inc is located at 212 Grande Blvd Ste B226, Tyler, TX 75703. The listed phone number is (903) 509-4422.

What is Orthodontic Centers Of Texas, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Orthodontic Centers Of Texas, Inc was last updated on August 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.