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Search › Texas › General Practice Dentistry

Ty Black, DDS

NPI 1851448385 · on the registry since 2007 · sole proprietor

Practice

Address
5201 S Broadway Ave
St 240
Tyler, TX 75703
Phone
(903) 534-8110
Fax
(903) 534-5510
Organisation at this address
Ty Black Dds
Javiramel Dental Pllc
Tyler Behavioral Health
Southland Legend Pharmacy
Times Square Family Dental Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas