Provider Demographics
NPI:1093502429
Name:AFFORDABLE DENTURES & IMPLANTS - TEXAS III, PLLC
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - TEXAS III, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:TANKSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:903-533-9797
Mailing Address - Street 1:3081 HWY 31 E
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75702-8620
Mailing Address - Country:US
Mailing Address - Phone:903-533-9797
Mailing Address - Fax:
Practice Address - Street 1:3081 HWY 31 E
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-8620
Practice Address - Country:US
Practice Address - Phone:903-533-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty