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DR. TY BRANDON BLACK DDS
NPI 1851448385
Dentist - General Practice in Tyler, TX

Active since January 05, 2007
5201 S BROADWAY AVE, ST 240, TYLER, TX 75703(903) 534-8110(903) 534-5510 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ty Brandon Black Dds NPPES

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

DR. TY BRANDON BLACK DDS (NPI 1851448385) is an individual general practice provider in Tyler, Texas, licensed in Texas (20648) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1851448385
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TY BRANDON BLACKCredential: DDS
Location Address5201 S BROADWAY AVE, ST 240Tyler, TX 75703-3748
Mailing Address5201 S Broadway Ave, St 240Tyler, TX 75703-3748 · (903) 534-8110 · Fax (903) 534-5510
Phone(903) 534-8110
Fax(903) 534-5510
Sole ProprietorYes
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851448385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 20648
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.
5201 S BROADWAY AVE, Tyler, TX 75703
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Other Providers at the Same Location NPPES 6

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

TIMES SQUARE FAMILY DENTAL PA
Dentist (General Practice)
5201 S BROADWAY AVE, SUITE 240
TYLER, TX 75703
Smith County (903) 534-8110
SOUTHLAND LEGEND PHARMACY
Pharmacy (Community/Retail Pharmacy)
5201 S BROADWAY AVE, STE 100
TYLER, TX 75703
Smith County (903) 534-8218
TY BLACK DDS
Dentist
5201 S BROADWAY AVE, ST 240
TYLER, TX 75703
Smith County (903) 534-8110
ALLIED PAIN MANAGEMENT CLINIC P.A.
Family Medicine
5201 S BROADWAY AVE, SUITE 200
TYLER, TX 75703
Smith County (903) 595-6078
ALLIED PAIN MANAGEMENT CLINIC, P.A.
Chiropractor (Orthopedic)
5201 S BROADWAY AVE, STE 200
TYLER, TX 75703
Smith County (903) 595-6078
TYLER BEHAVIORAL HEALTH
Counselor (Professional)
5201 S BROADWAY AVE
TYLER, TX 75703
Smith County (214) 943-9431

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 Ty Black's NPI number?

The NPI number for Ty Black is 1851448385. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Ty Black located?

Ty Black practices at 5201 S Broadway Ave St 240, Tyler, TX 75703. The listed phone number is (903) 534-8110.

What is Ty Black'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 Ty Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.