WESTLAKE ORAL SURGERY NPI 1689430761

NPI Information

  • NPI: 1689430761
  • Provider Name: WESTLAKE ORAL SURGERY
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: 311 W SOUTHLAKE BLVD STE 150
    SOUTHLAKE, TX
    ZIP 76092
  • Phone: (817) 424-1166

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NPI Details

WESTLAKE ORAL SURGERY is an oral maxillofacial surgery in Southlake, TX. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. WESTLAKE ORAL SURGERY NPI is 1689430761. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

311 W SOUTHLAKE BLVD STE 150
SOUTHLAKE, TX
ZIP 76092-186
Phone: (817) 424-1166

The provider's authorized official is Bert Cameron Wendling .
The authorized official title is Owner/surgeon and has the following contact phone number (214) 205-8570.

The enumeration date for this NPI number is 2/26/2024 and was last updated on 2/26/2024.

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
1204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

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

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