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Oral & Maxillofacial Surgery Of Tyler, Pc
Oral and Maxillofacial Surgery (Dentist) in Tyler, Texas
NPI 1154493922

Oral & Maxillofacial Surgery Of Tyler, Pc is a Oral and Maxillofacial Surgery (Dentist) based in Tyler, TX and is specialized in Oral and Maxillofacial Surgery. Oral & Maxillofacial Surgery Of Tyler, Pc practices in Tyler, TX. The NPI Number for Oral & Maxillofacial Surgery Of Tyler, Pc is 1154493922 and holds a License No. 10456 & 17107 (Texas).

The current practice location address for Oral & Maxillofacial Surgery Of Tyler, Pc is 700 Olympic Plaza Cir Ste 412, Tyler, TX and can be reached out via phone at 903-595-5186 and via fax at 903-595-5240. You can also correspond with Oral & Maxillofacial Surgery Of Tyler, Pc through the mailing address at 700 OLYMPIC PLAZA CIR STE 412, TYLER, TX - 75701-1952 (mailing address contact number: 903-595-5186).

Location: 700 Olympic Plaza Cir Ste 412, Tyler, TX, 75701-1952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154493922
Provider Name
Oral & Maxillofacial Surgery Of Tyler, Pc
Credential
Provider Entity Type
Organization
Address
700 Olympic Plaza Cir Ste 412, Tyler, TX, 75701-1952
Phone Number
903-595-5186
Fax Number
903-595-5240
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
080858601 05 TX
institution
Provider Business Practice Location Address Details
Address
700 Olympic Plaza Cir Ste 412
City
Tyler
State
Texas
Zip
75701-1952
Phone Number
903-595-5186
Fax Number
903-595-5240
person
Provider Business Mailing Address Details
Address
700 Olympic Plaza Cir Ste 412
City
Tyler
State
Texas
Zip
75701-1952
Phone Number
903-595-5186
Fax Number
903-595-5240
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
10456 & 17107 (Texas)
Definition
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.
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