1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Dentist
  6. NPI Profile

TYLER ENDODONTICS, PLLC
NPI 1871620930
Dentist - Endodontics in Tyler, TX

Active since February 27, 2007
4005 BROOKSIDE DRIVE, TYLER, TX 75701(909) 939-3636(903) 939-1687 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyler Endodontics, Pllc NPPES

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

TYLER ENDODONTICS, PLLC (NPI 1871620930) is a healthcare organization registered as an endodontics in Tyler, Texas and active in the NPI registry since February 2007. The organization lists Jonathan Caleb Rossall, President, as its authorized official.

NPPES Registry Identity

NPI1871620930
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameTYLER ENDODONTICS, PLLC
Location Address4005 BROOKSIDE DRIVETyler, TX 75701
Mailing Address4005 Brookside DriveTyler, TX 75701 · (909) 939-3636 · Fax (903) 939-1687
Phone(909) 939-3636
Fax(903) 939-1687
Organization SubpartNo
Authorized OfficialJonathan Caleb RossallPresident · (903) 939-3636
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJune 13, 2025
✔ NPI 1871620930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
4005 BROOKSIDE DRIVE, Tyler, TX 75701
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Tyler Endodontics, PLLC's NPI number?

The NPI number for Tyler Endodontics, PLLC is 1871620930. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Tyler Endodontics, PLLC located?

Tyler Endodontics, PLLC is located at 4005 Brookside Drive, Tyler, TX 75701. The listed phone number is (909) 939-3636.

What is Tyler Endodontics, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Tyler Endodontics, PLLC was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.