Organization · Type 2 NPI
Chisholm Trail Oral Surgery PLLC
Oral and Maxillofacial Surgery (Dentist) · Fort Worth, TX
Practice location
7040 Harris Pkwy Ste 140
Fort Worth, TX 76132-4218
Mailing address
4137 Trails End Dr Apt 2018
Fort Worth, TX 76116-0785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None 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.
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About NPI 1811733769
Chisholm Trail Oral Surgery PLLC's National Provider Identifier is 1811733769, issued on Jul 1, 2024. 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 Oct 29, 2024.