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East Texas Oral & Maxillofacial Surgery Associates Inc.
Oral and Maxillofacial Surgery (Dentist) in Longview, Texas
NPI 1952459307

East Texas Oral & Maxillofacial Surgery Associates Inc. is a Oral and Maxillofacial Surgery (Dentist) based in Longview, TX and is specialized in Oral and Maxillofacial Surgery. East Texas Oral & Maxillofacial Surgery Associates Inc. practices in Longview, TX. The NPI Number for East Texas Oral & Maxillofacial Surgery Associates Inc. is 1952459307 and holds a License No. 10700 (Texas).

The current practice location address for East Texas Oral & Maxillofacial Surgery Associates Inc. is 3004 H G Moseley Pkwy, Longview, TX and can be reached out via phone at 903-758-3444 and via fax at 903-758-1967.

Location: 3004 H G Moseley Pkwy, Longview, TX, 75605-2948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952459307
Provider Name
East Texas Oral & Maxillofacial Surgery Associates Inc.
Credential
Provider Entity Type
Organization
Address
3004 H G Moseley Pkwy, Longview, TX, 75605-2948
Phone Number
903-758-3444
Fax Number
903-758-1967
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111312801 05 TX
111312802 05 TX
institution
Provider Business Practice Location Address Details
Address
3004 H G Moseley Pkwy
City
Longview
State
Texas
Zip
75605-2948
Phone Number
903-758-3444
Fax Number
903-758-1967
person
Provider Business Mailing Address Details
Address
3004 H G Moseley Pkwy
City
Longview
State
Texas
Zip
75605-2948
Phone Number
903-758-3444
Fax Number
903-758-1967
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
10700 (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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