Organization · Type 2 NPI

Dallas Oral and Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Dallas, TX

NPI number 1417267451 Active

Practice location

6140 Sherry Lane
Dallas, TX 75225

Mailing address

6140 Sherry Ln
Dallas, TX 75225-6301

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X13059 (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.

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About NPI 1417267451

Dallas Oral and Maxillofacial Surgery's National Provider Identifier is 1417267451, issued on Oct 8, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dallas, TX. The record was last updated on Oct 8, 2010.