Kent B Boozer DDS PA
Kent B Boozer DDS PA is a healthcare organization registered as Pediatric Dentistry in Tyler, TX, holding Type 2 (organization) NPI 1508046129 since 2007. The authorized official on file is Kent Boozer, Dentist/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508046129 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kent B Boozer DDS PA |
| Other name | <Unavail> |
| Practice address | 5540 OLD JACKSONVILLE HWY, Tyler, TX, 75703 |
| Phone | 9035972121 |
| Fax | 9035817776 |
| Enumeration date | 2007-11-12 |
| Last updated in NPPES | 2007-11-12 |
Authorized official
| Name | Kent Boozer |
|---|---|
| Title | Dentist/Owner |
| Phone | 9035972121 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Primary | 20107 | TX |
Copy-ready billing details
Provider: Kent B Boozer DDS PA NPI: 1508046129 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 5540 OLD JACKSONVILLE HWY, Tyler, TX, 75703
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578502878 | Kent Boozer | Individual | Pediatric Dentistry | Tyler, TX |
| 1053321778 | Donna Gordon Lindsey | Individual | General Practice Dentistry | Tyler, TX |
| 1427258573 | Aimee Massey | Individual | General Practice Dentistry | Tyler, TX |
| 1437564887 | Blaire Miers | Individual | General Practice Dentistry | Tyler, TX |
| 1447703053 | Bethany Flanders | Individual | General Practice Dentistry | Tyler, TX |
| 1952096695 | Mccray Boozer | Individual | General Practice Dentistry | Tyler, TX |
| 1245127331 | Mary Nixon | Individual | General Practice Dentistry | Tyler, TX |
Verify this record
Cross-check NPI 1508046129 against the authoritative CMS record: view Kent B Boozer DDS PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Kent B Boozer DDS PA?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-11-12.