Organization · Type 2 NPI
East Texas Oral & Maxillofacial Surgery Associates Inc.
Oral and Maxillofacial Surgery (Dentist) · Longview, TX
NPI number
1952459307
Active
Practice location
3004 H G Moseley Pkwy
Longview, TX 75605-2948
Fax (903) 758-1967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 10700 (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.
About NPI 1952459307
East Texas Oral & Maxillofacial Surgery Associates Inc.'s National Provider Identifier is 1952459307, issued on Jan 8, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Longview, TX. The record was last updated on Mar 20, 2012.