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CONTEMPORARY FACIAL AND ORAL SURGERY PLLC NPI 1700038163


NPI Information

NPI: 1700038163
Provider Name: CONTEMPORARY FACIAL AND ORAL SURGERY PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3443 E. RENNER RD.
SUITE 100
PLANO, TX
ZIP 75074
Phone: (214) 572-8633
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CONTEMPORARY FACIAL AND ORAL SURGERY PLLC is an oral and maxillofacial surgery dentist in Plano, TX. The provider is an oral and maxillofacial surgery dentist specialized in 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. CONTEMPORARY FACIAL AND ORAL SURGERY PLLC NPI is 1700038163. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3443 E. RENNER RD.
SUITE 100
PLANO, TX
ZIP 75074
Phone: (214) 572-8633
Fax: (214) 572-8638

The provider's authorized official is Stephen M Chan .
The authorized official title is Owner and has the following contact phone number (214) 572-8633.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 7/10/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11326241928OTHERTEXASNPI
21700038163OTHERTEXASGROUP NPI
3198109401MEDICAIDTEXAS
41235333741OTHERTEXASNPI
5198110201MEDICAIDTEXAS
6192748502MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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