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Dr. Dylan Patrick , DDS

Dentist - Pediatric Dentistry β€’ Tyler, TX

Active NPI 1952782724 Individual Practitioner Male Practitioner
Practice location in NPPES

419 W Southwest Loop 323 Ste 300
Tyler, TX 757017062

Call 9032519292 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

419 W Southwest Loop 323 Ste 300

Tyler, TX 757017062

Telephone 9032519292
Fax 9032078642
Organization at the Same NPPES Address or Phone
Dylan Patrick Dds, Pllc Facility NPI 1871090860

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tyler and Texas

7 active clinicians are listed under Dentist - Pediatric Dentistry with a practice address in Tyler, TX (1,019 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-11
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES TX 31023

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Clinton Miller , DDS

Dentist - General Practice

NPI 1417026097

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Business Mailing Address June 11, 2024

Registered at 419 W SOUTHWEST LOOP 323 STE 300, TYLER, TX 757017062 (Tel: 9032519292)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2024

Dentist (license number reported to NPPES: TX 31023)

πŸ“
Updated Practice Location May 16, 2023

Registered at 419 W SOUTHWEST LOOP 323 STE 300, TYLER, TX 757017062 (Tel: 9032519292)

βœ…
NPI Profile Active June 17, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 17, 2015

Registered at 724 N WASHINGTON AVE, DURANT, OK 747017017 (Tel: 5809240660)

πŸ“
Business Mailing Address (Initial Record) June 17, 2015

Registered at 724 N WASHINGTON AVE, DURANT, OK 747017017 (Tel: 5809240660)

πŸ‘€
Provider Name / Credentials (Initial Record) June 17, 2015

Recorded as DYLAN PATRICK, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2015

Dentist (license number reported to NPPES: TX 31023)

🟒
Initial NPI Registration & Enumeration June 17, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952782724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2015
Last Update: June 11, 2024
Sole Proprietor: No

Mailing Address

419 W Southwest Loop 323 Ste 300

Tyler, TX 757017062

Phone: 9032519292

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.