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METROPLEX SURGICAL ARTS P.A. NPI 1467621011


NPI Information

NPI: 1467621011
Provider Name: METROPLEX SURGICAL ARTS, P.A.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 45D2099505

Address:
7988 W VIRGINIA DR STE 200
DALLAS, TX
ZIP 75237
Phone: (972) 296-1992
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METROPLEX SURGICAL ARTS, P.A. is an oral and maxillofacial surgery dentist in Dallas, 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. METROPLEX SURGICAL ARTS, P.A. NPI is 1467621011. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7988 W VIRGINIA DR STE 200
DALLAS, TX
ZIP 75237-764
Phone: (972) 296-1992
Fax: (972) 296-8983

The provider's authorized official is Howard F Cooke .
The authorized official title is Owner/surgeon and has the following contact phone number (972) 296-1992.

The CLIA number assigned to this NPI record is 45D2099505 - other - specialists oral surg. with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 9/11/2008.


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 Surgery18861TEXASYes

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
100787RMEDICARE PINTEXAS

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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