OrganizationActive
Tyler Periodontics, PLLC
NPI 1619331634 · Periodontics · Tyler, TX
Tyler Periodontics, PLLC is a Periodontics organization in Tyler, TX (NPI 1619331634).
Provider details
- NPI number
- 1619331634
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Rhonda Worthen, Business Manager(903) 581-2900
- License
- 10911 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(72/100 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
3805 Brookside Dr
Tyler, TX 75701-9421
Phone: (903) 581-2900
Fax: (903) 509-0160
Street-level locationGet directions
Mailing address
3805 Brookside Dr
Tyler, TX 75701-9421
Other names (DBA / former)
- Former legal business name
- John E. Adcock DDS Ms
Registry dates
- Enumerated
- 2016-04-06
- Last updated
- 2016-12-22
Frequently asked questions
- What is Tyler Periodontics, PLLC's NPI number?
- Tyler Periodontics, PLLC's National Provider Identifier (NPI) is 1619331634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tyler Periodontics, PLLC?
- Tyler Periodontics, PLLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Tyler Periodontics, PLLC located?
- Tyler Periodontics, PLLC's practice location on file with NPPES is 3805 Brookside Dr, Tyler, TX 75701-9421.
- What is Tyler Periodontics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tyler Periodontics, PLLC is (903) 581-2900.
- Who is the authorized official for Tyler Periodontics, PLLC?
- The authorized official listed on Tyler Periodontics, PLLC's NPPES record is Rhonda Worthen, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tyler Periodontics, PLLC's NPI active?
- Yes — Tyler Periodontics, PLLC's NPI (1619331634) is active in the NPPES registry as of the last update on 2016-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.