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ORAL SURGERY ASSOCIATES OF NORTH TEXAS PC NPI 1790898179


NPI Information

NPI: 1790898179
Provider Name: ORAL SURGERY ASSOCIATES OF NORTH TEXAS, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
618 N HIGHWAY 67
CEDAR HILL, TX
ZIP 75104
Phone: (972) 291-0297
Get Directions

ORAL SURGERY ASSOCIATES OF NORTH TEXAS, PC is an oral and maxillofacial surgery dentist in Cedar Hill, 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. ORAL SURGERY ASSOCIATES OF NORTH TEXAS, PC NPI is 1790898179. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

618 N HIGHWAY 67
CEDAR HILL, TX
ZIP 75104-139
Phone: (972) 291-0297

The provider's authorized official is Danielle Johnston .
The authorized official title is Credentialing and has the following contact phone number (512) 447-6685.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/11/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10082927701MEDICAIDTEXAS

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: 5/5/2024

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