Provider Demographics
NPI:1679688410
Name:PALUXY DENTAL GROUP PC
Entity Type:Organization
Organization Name:PALUXY DENTAL GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-593-5161
Mailing Address - Street 1:3201 PALUXY DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-8349
Mailing Address - Country:US
Mailing Address - Phone:903-593-5161
Mailing Address - Fax:903-593-8359
Practice Address - Street 1:3201 PALUXY DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-8349
Practice Address - Country:US
Practice Address - Phone:903-593-5161
Practice Address - Fax:903-593-8359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty