TEXAS ORAL AND MAXILLOFACIAL SURGERY P.A. NPI 1881850766

NPI Information

TEXAS ORAL AND MAXILLOFACIAL SURGERY, P.A. is an oral and maxillofacial surgery clinic center in Dallas, 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. TEXAS ORAL AND MAXILLOFACIAL SURGERY, P.A. NPI is 1881850766. The provider is registered as an organization entity type.

The provider's business location address is:

3001 KNOX ST
SUITE 301
DALLAS, TX
ZIP 75205-584
Phone: (214) 824-8960
Fax: (214) 824-8984

The provider's authorized official is James D. Bates .
The authorized official title is President and has the following contact phone number (214) 824-8960.

The CLIA number assigned to this NPI record is 45D1045151 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/31/2008.

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:

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