Organization · Type 2 NPI

Facial and Cosmetic Surgery of Fort Worth

Oral and Maxillofacial Surgery (Dentist) · Fort Worth, TX

NPI number 1720690100 Active

Practice location

5825 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4142

Fax (817) 927-2351

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.

3 other providers at this address

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About NPI 1720690100

Facial and Cosmetic Surgery of Fort Worth's National Provider Identifier is 1720690100, issued on Aug 18, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 29, 2025.