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NPI · 1750743167 · NPPES-sourced

East Texas Dental Group, LLC

ActiveDentist
NPI Number
1750743167
Type 2 · Organisation
Taxonomy Code
122300000X
Contact
(903) 509-0505
License TX · 31033
Last Updated
Enumerated
Primary practice addressTX · 75703-4226
212 Old Grande Blvd, B224Tyler, TX 75703-4226
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About this NPIWhat this record shows.

NPI 1750743167 is registered to East Texas Dental Group, LLC, a healthcare organisation classified as "Dentist" and located at 212 Old Grande Blvd, B224 in Tyler, Texas. The organisation's authorised official is Young Shim. The organisation has been enumerated in the NPI registry since 2016.

Provider type
Organisation (Type 2)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 1 secondary identifier beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. Within the directory it is one of 9,255 Dentist providers on file in Texas.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans East Texas Dental Group, LLC accepts. To confirm in-network status with your specific health plan, contact East Texas Dental Group, LLC directly at (903) 509-0505.

Frequently asked

Yes. NPI 1750743167 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (903) 509-0505.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. East Texas Dental Group, LLC is a Type-2 organisational NPI.

As of the latest monthly CMS NPPES snapshot, 9,255 Dentist providers are registered in Texas, and East Texas Dental Group, LLC is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeOrganisation
Taxonomy122300000X
Last updated
Enumerated
StatusActive
Partneri
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Same specialtyOther Dentist providers in Texas.

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