NPI age
10 years
Enumerated 2016-04-06
● Active Type 2 · Organization
Tyler Periodontics, Pllc
Tyler Periodontics, Pllc is 1 of 625 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Worthen
Business Manager
Last NPPES update
2016-12-22
Source: monthly bulk 2026-05
How this organization compares
Across 625 active dentist providers in Texas.
NPI age
10 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-04Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
3805 Brookside Dr
Tyler, TX 757019421
Mailing address
3805 Brookside Dr
Tyler, TX 757019421
Authorized official
Rhonda Worthen
Business Manager
📞 9035812900
Individual providers at this organization
2 individual providers on file at this primary practice address.
- John Adcock, D.D.S., M.S. Dentist NPI 1922005503
- Alexandra Kennedy, DDS, MS Dentist NPI 1891347951
Specialties
-
Dentist PrimaryThat specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
John E. Adcock DDS MS
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.