Ty Black Dds

LBN: Ty Black Dds
Ty Black Dds is an health care organization with primary practice located at 5201 S Broadway Ave St 240, Tyler TX 75703. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Ty Black Dds can be contacted via phone (903) 534-8110, or through Black, Dana via phone (903) 534-8110.

Contact Information

Primary practice address
5201 S Broadway Ave St 240 Tyler TX 75703
Phone: (903) 534-8110
Fax: (903) 534-5510
Website:
Map and Directions
Authorized official contact:
Name: Black, Dana
Phone: (903) 534-8110

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 20648 Texas

Profile Details

NPI number 1437383015
LBN Legal business name Ty Black Dds
DBA Doing business as
Authorized official Black, Dana
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2009
Last updated May 11th, 2009 - about 17 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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