Fresh Dental And Orthodontics

LBN: South Tyler Family Dentistry Pllc
Fresh Dental And Orthodontics is an health care organization with primary practice located at 8942 S Broadway Ave Ste 128 , Tyler TX 75703-5443. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. South Tyler Family Dentistry Pllc can be contacted via phone (903) 594-4562, or through Garcia, Jenny via phone (972) 869-3789.

Contact Information

Primary practice address
8942 S Broadway Ave Ste 128 Tyler TX 75703-5443
Phone: (903) 594-4562
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Jenny
Phone: (972) 869-3789

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1548636061
LBN Legal business name South Tyler Family Dentistry Pllc
DBA Doing business as Fresh Dental And Orthodontics
Authorized official Garcia, Jenny
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2015
Last updated Nov 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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