OrganizationActive
Matthew D Grace DDS, PLLC
NPI 1104397868 · Dental Clinic/Center · Tyler, TX
Matthew D Grace DDS, PLLC is a Dental Clinic/Center organization in Tyler, TX (NPI 1104397868).
Provider details
- NPI number
- 1104397868
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Grace, Dentist(903) 316-9419
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5621 S Broadway Ave
Tyler, TX 75703-4348
Phone: (903) 630-6313
Street-level locationGet directions
Mailing address
353 Vzcr 1519
Grand Saline, TX 75140-5744
Other names (DBA / former)
- Doing business as
- Broadway Dental
Registry dates
- Enumerated
- 2018-12-06
- Last updated
- 2018-12-06
Frequently asked questions
- What is Matthew D Grace DDS, PLLC's NPI number?
- Matthew D Grace DDS, PLLC's National Provider Identifier (NPI) is 1104397868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Matthew D Grace DDS, PLLC?
- Matthew D Grace DDS, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Matthew D Grace DDS, PLLC located?
- Matthew D Grace DDS, PLLC's practice location on file with NPPES is 5621 S Broadway Ave, Tyler, TX 75703-4348.
- What is Matthew D Grace DDS, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Matthew D Grace DDS, PLLC is (903) 630-6313.
- Who is the authorized official for Matthew D Grace DDS, PLLC?
- The authorized official listed on Matthew D Grace DDS, PLLC's NPPES record is Matthew Grace, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Matthew D Grace DDS, PLLC's NPI active?
- Yes — Matthew D Grace DDS, PLLC's NPI (1104397868) is active in the NPPES registry as of the last update on 2018-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.