TEXAS ORAL SURGERY GROUP LLP NPI 1497078539

NPI Information

  • NPI: 1497078539
  • Provider Name: TEXAS ORAL SURGERY GROUP, LLP
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 3713 W 15TH ST
    SUITE 403
    PLANO, TX
    ZIP 75075
  • Phone: (972) 596-9242

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NPI Details

TEXAS ORAL SURGERY GROUP, LLP 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. TEXAS ORAL SURGERY GROUP, LLP NPI is 1497078539. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3713 W 15TH ST
SUITE 403
PLANO, TX
ZIP 75075-754
Phone: (972) 596-9242
Fax: (972) 612-0787

The provider's authorized official is Kari Shutler .
The authorized official title is Office Manager and has the following contact phone number (972) 596-9242.

The enumeration date for this NPI number is 3/3/2010 and was last updated on 3/3/2010.

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 Surgery11860TEXASNo
21223S0112XDentistOral and Maxillofacial Surgery11521TEXASNo
31223S0112XDentistOral and Maxillofacial Surgery16343TEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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