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

Professional Dental Alliance of Tx 43004 PLLC

Organization General Practice Dentistry · NPI 1093329534

Professional Dental Alliance of Tx 43004 PLLC provides General Practice Dentistry in Tyler, Texas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
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 75703-4277
Phone: (903) 509-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1093329534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Howard — Credentialing Specialist · (757) 576-5479
NPI enumeratedSeptember 2, 2020
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020
Mailing address11 S Mill St, New Castle, PA 16101-3680

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