OrganizationActive
South Tyler Family Dentistry PLLC
NPI 1548636061 · Dentist · Tyler, TX
South Tyler Family Dentistry PLLC is a Dentist organization in Tyler, TX (NPI 1548636061).
Provider details
- NPI number
- 1548636061
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jenny Garcia, Credentialing Lead(972) 869-3789
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
8942 S Broadway Ave Ste 128
Tyler, TX 75703-5443
Phone: (903) 594-4562
Street-level locationGet directions
Mailing address
Po Box 734753
Dallas, TX 75373-4753
Other names (DBA / former)
- Doing business as
- Fresh Dental and Orthodontics
Registry dates
- Enumerated
- 2015-08-19
- Last updated
- 2022-11-21
- Certified
- 2022-11-21
Frequently asked questions
- What is South Tyler Family Dentistry PLLC's NPI number?
- South Tyler Family Dentistry PLLC's National Provider Identifier (NPI) is 1548636061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Tyler Family Dentistry PLLC?
- South Tyler Family Dentistry PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is South Tyler Family Dentistry PLLC located?
- South Tyler Family Dentistry PLLC's practice location on file with NPPES is 8942 S Broadway Ave Ste 128, Tyler, TX 75703-5443.
- What is South Tyler Family Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Tyler Family Dentistry PLLC is (903) 594-4562.
- Who is the authorized official for South Tyler Family Dentistry PLLC?
- The authorized official listed on South Tyler Family Dentistry PLLC's NPPES record is Jenny Garcia, Credentialing Lead. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Tyler Family Dentistry PLLC's NPI active?
- Yes — South Tyler Family Dentistry PLLC's NPI (1548636061) is active in the NPPES registry as of the last update on 2022-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.