Organization · Type 2 NPI

Oral and Maxillofacial Surgeons of Northeast Texas, PLLC

Oral and Maxillofacial Surgery (Dentist) · Texarkana, TX

NPI number 1538560362 Active

Practice location

1701 Moores Ln
Texarkana, TX 75503-1894

Fax (903) 793-7217

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

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.

5 other providers at this address

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About NPI 1538560362

Oral and Maxillofacial Surgeons of Northeast Texas, PLLC's National Provider Identifier is 1538560362, issued on Sep 11, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Texarkana, TX. The record was last updated on Sep 11, 2014.