Culberson Reeves Boren in Tyler - Pediatric Dentistry
Culberson Reeves Boren - NPI 1497837587
Culberson Reeves Boren is a Pediatric Dentistry in Tyler, Texas. Culberson Reeves Boren practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Culberson Reeves Boren is 1497837587. The last update date is 2012-08-16.
Culberson Reeves Boren's current location address is 7916 S Broadway Ave, Tyler, Texas. You can contact this provider via phone number 9035812198 and fax number 9035819571. The mailing address for Culberson Reeves Boren is 7916 S Broadway Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Culberson Reeves Boren |
|---|---|
| Address | 7916 S Broadway Ave, Tyler, Texas |
| Phone Number | 9035812198 |
| Fax Number | 9035819571 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1497837587 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2012-08-16 |
Provider Mailing Address Detail
| Address | 7916 S Broadway Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757035274 |
| Phone Number | 9035812198 |
| Fax Number | 9035819571 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 13063 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8045901 | TX | -- | |
| 751899269 | TX | TAX ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Culberson Reeves Boren?
The Culberson Reeves Boren has been issued the NPI (National Provider Identifier) 1497837587 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Culberson Reeves Boren's facilities are geographically located?
The facilities of Culberson Reeves Boren are physically situated at the following location: 7916 S Broadway Ave, Tyler, TX, 757035274.
What is Culberson Reeves Boren's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Culberson Reeves Boren's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When was the Culberson Reeves Boren's 1497837587 issued?
The Culberson Reeves Boren's 1497837587 was issued on 2006-10-19.
As of what date was the information regarding Culberson Reeves Boren, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Culberson Reeves Boren, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-08-16.