Provider Demographics
NPI:1912126772
Name:ERWIN, THURMAN CLIFFORD JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:THURMAN
Middle Name:CLIFFORD
Last Name:ERWIN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:THURMAN
Other - Middle Name:CLIFFORD
Other - Last Name:ERWIN
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14824 COUNTY ROAD 35
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75706-3435
Mailing Address - Country:US
Mailing Address - Phone:903-533-0809
Mailing Address - Fax:
Practice Address - Street 1:14824 COUNTY ROAD 35
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75706-3435
Practice Address - Country:US
Practice Address - Phone:903-533-0809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice