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PARK FOREST ORAL AND MAXILLOFACIAL SURGERY NPI 1790910776


NPI Information

NPI: 1790910776
Provider Name: PARK FOREST ORAL AND MAXILLOFACIAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2304 W INTERSTATE 20
150
ARLINGTON, TX
ZIP 75254
Phone: (817) 466-8080
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PARK FOREST ORAL AND MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in Arlington, TX. The provider is the specialty of dentistry which includes 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. PARK FOREST ORAL AND MAXILLOFACIAL SURGERY NPI is 1790910776. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2304 W INTERSTATE 20
150
ARLINGTON, TX
ZIP 75254-674
Phone: (817) 466-8080
Fax: (817) 466-8082

The provider's authorized official is Haroon None Ismaili .
The authorized official title is Owner and has the following contact phone number (817) 466-8080.

The enumeration date for this NPI number is 5/20/2009 and was last updated on 5/20/2009.


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 Surgery24439TEXASYes

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: 11/14/2023

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