TYLER PERIODONTICS, PLLC

TYLER, TX
NPI1619331634
Former Legal Business NameJOHN E. ADCOCK DDS MS
Entity TypeOrganization
Authorized ContactRHONDA WORTHEN
Business Manager
903-581-2900
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: TX  30701)
Additional Taxonomies1223P0300X Dentist, Periodontics
(Licence: TX  10911)
Enumeration Date2016-04-06
Last Update Date2016-12-22
Business Address
TYLER PERIODONTICS, PLLC
3805 BROOKSIDE DR
TYLER, TX 75701-9421
Phone number: 903-581-2900
Mailing Address
TYLER PERIODONTICS, PLLC
3805 BROOKSIDE DR
TYLER, TX 75701-9421
Phone number: 903-581-2900