Kent B Boozer Dds Pa in Tyler - Pediatric Dentistry
Kent B Boozer Dds Pa - NPI 1508046129
Kent B Boozer Dds Pa is a Pediatric Dentistry in Tyler, Texas. Kent B Boozer Dds Pa practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kent B Boozer Dds Pa is 1508046129. The last update date is 2007-11-12.
Kent B Boozer Dds Pa's current location address is 5540 Old Jacksonville Hwy, Tyler, Texas. You can contact this provider via phone number 9035972121 and fax number 9035817776. The mailing address for Kent B Boozer Dds Pa is 5540 Old Jacksonville Hwy, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Kent B Boozer Dds Pa |
---|---|
Address | 5540 Old Jacksonville Hwy, Tyler, Texas |
Phone Number | 9035972121 |
Fax Number | 9035817776 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DENTIST/OW |
---|---|
Authorized Official Name | Boozer B Kent |
Credentials | DDS |
Telephone Number | 9035972121 |
NPI Number Detail
NPI Number | 1508046129 |
---|---|
Provider Enumeration Date | 2007-11-12 |
Last Updated Date | 2007-11-12 |
Provider Mailing Address Detail
Address | 5540 Old Jacksonville Hwy |
---|---|
City | Tyler |
State | Texas (TX) |
Post Code | 757033378 |
Phone Number | 9035972121 |
Fax Number | 9035817776 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
---|---|
Taxonomy | 1223P0221X |
Licence No | 20107 |
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. |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kent B Boozer Dds Pa by the Centers for Medicare & Medicaid Services?
The Kent B Boozer Dds Pa has been assigned the NPI (National Provider Identifier) 1508046129 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kent B Boozer Dds Pa's physical address?
The Kent B Boozer Dds Pa is physically located at 5540 Old Jacksonville Hwy, in the city of Tyler, TX, with the postal code 757033378.
What is the Kent B Boozer Dds Pa's area of specialization and corresponding taxonomy classification?
The Kent B Boozer Dds Pa's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
When did the Kent B Boozer Dds Pa receive its 1508046129?
The Kent B Boozer Dds Pa was issued its 1508046129 on 2007-11-12, which is the date when the organization was assigned this unique identifier.
When was the Kent B Boozer Dds Pa's information last updated?
The Kent B Boozer Dds Pa's information was last updated on 2007-11-12.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN