OrganizationActive
Culberson R Boren DDS PA
NPI 1215290697 · Pediatric Dentistry · Longview, TX
Culberson R Boren DDS PA is a Pediatric Dentistry organization in Longview, TX (NPI 1215290697).
Provider details
- NPI number
- 1215290697
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Culberson Boren, Owner/ Doctor(903) 581-2198
- License
- 13063 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
705 E Marshall Ave
Medical Plaza III
Longview, TX 75601-5573
Phone: (903) 581-2198
Fax: (903) 581-9571
Street-level locationGet directions
Mailing address
7916 S Broadway Ave
Tyler, TX 75703-5274
Other names (DBA / former)
- Doing business as
- Dentistry for Children
Registry dates
- Enumerated
- 2012-06-20
- Last updated
- 2012-06-20
Frequently asked questions
- What is Culberson R Boren DDS PA's NPI number?
- Culberson R Boren DDS PA's National Provider Identifier (NPI) is 1215290697, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Culberson R Boren DDS PA?
- Culberson R Boren DDS PA is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Culberson R Boren DDS PA located?
- Culberson R Boren DDS PA's practice location on file with NPPES is 705 E Marshall Ave, Longview, TX 75601-5573.
- What is Culberson R Boren DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Culberson R Boren DDS PA is (903) 581-2198.
- Who is the authorized official for Culberson R Boren DDS PA?
- The authorized official listed on Culberson R Boren DDS PA's NPPES record is Culberson Boren, Owner/ Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Culberson R Boren DDS PA's NPI active?
- Yes — Culberson R Boren DDS PA's NPI (1215290697) is active in the NPPES registry as of the last update on 2012-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.