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

Times Square Family Dental PA

Organization General Practice Dentistry · NPI 1174954424

Times Square Family Dental PA provides General Practice Dentistry in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
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

5201 S Broadway Ave Ste 240
Tyler, TX 75703-3748 Not confirmed with CMS for 12 years — call before visiting
Phone: (903) 534-8110
Fax: (903) 534-5510
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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 · Licence 20467 (TX)

Record details

NPI number1174954424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kaivan Afkhami — President · (817) 577-9200
NPI enumeratedDecember 11, 2013
Last updated in NPPESDecember 11, 2013
Mailing address1801 Precinct Line Rd Ste A, Hurst, TX 76054-3171

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