NPI age
10 years
Enumerated 2016-03-24
● Active Type 2 · Organization
East Texas Dental Group, Llc
East Texas Dental Group, Llc is 1 of 9237 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shim
Owner
Last NPPES update
2016-03-24
Source: monthly bulk 2026-05
How this organization compares
Across 9237 active dentist providers in Texas.
NPI age
10 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-03Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
212 Old Grande Blvd, B224
Tyler, TX 757034226
Mailing address
212 Old Grande Blvd, Suite B224
Tyler, TX 757034226
Authorized official
Young T Shim, DMD
Owner
📞 9035090505
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 352003301 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.