Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

East Texas Dental Associates, PA

Organization Dentist · NPI 1750604211

East Texas Dental Associates, PA provides Dentist services in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

212 Old Grande Blvd Ste B224
Tyler, TX 75703-4264 Not confirmed with CMS for 16 years — call before visiting
Phone: (903) 509-0505
Fax: (903) 509-0506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12586 (TX)

Record details

NPI number1750604211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steve Lebo — Owner · (903) 509-0505
NPI enumeratedMarch 11, 2010
Last updated in NPPESMarch 11, 2010
Mailing address212 Old Grande Blvd, Suite B224, Tyler, TX 75703-4264

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