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

East Texas Dental Group, LLC

Organization Dentist · NPI 1750743167

East Texas Dental Group, LLC provides Dentist services in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

212 Old Grande Blvd B224
Tyler, TX 75703-4226 Not confirmed with CMS for 10 years — call before visiting
Phone: (903) 509-0505
Fax: (903) 509-0506
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 31033 (TX)

Record details

NPI number1750743167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Young Shim — Owner · (903) 509-0505
NPI enumeratedMarch 24, 2016
Last updated in NPPESMarch 24, 2016
Mailing address212 Old Grande Blvd, Suite B224, Tyler, TX 75703-4226

Other providers in Tyler