Organization · Type 2 NPI

Oral and Facial Surgery Institute PA

Oral and Maxillofacial Surgery (Dentist) · Sugar Land, TX

NPI number 1003216250 Active

Practice location

4724 Sweetwater Blvd Ste 105
Sugar Land, TX 77479

Fax (281) 491-7134

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	30729 (TX)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Another provider at this address

Jennifer Kan, DDSGeneral Practice Dentistry Sugar Land, TX NPI 1295808558

Other oral and maxillofacial surgery (dentist) providers in Sugar Land

See all in Sugar Land →

NPI record

NPI: 1003216250
Entity type: Organization (Type 2)
Issued: Aug 25, 2014
Last updated: Aug 8, 2018
Status: Active

Other names

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Oral and Facial Surgery Institute of Houston · doing business as
Oral and Facial Surgery Institute of Houston · doing business as

Authorized official

Gina Casu
Credentialing Manager
(713) 790-6477

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003216250

Oral and Facial Surgery Institute PA's National Provider Identifier is 1003216250, issued on Aug 25, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Sugar Land, TX. The record was last updated on Aug 8, 2018.