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Mansfield Oral And Facial Surgery
Oral and Maxillofacial Surgery (Dentist) in Mansfield, Texas
NPI 1972771053

Mansfield Oral And Facial Surgery is a Oral and Maxillofacial Surgery (Dentist) based in Mansfield, TX and is specialized in Oral and Maxillofacial Surgery. Mansfield Oral And Facial Surgery practices in Mansfield, TX. The NPI Number for Mansfield Oral And Facial Surgery is 1972771053 and holds a License No. L9710 (Texas).

The current practice location address for Mansfield Oral And Facial Surgery is 1705 Fountainview Dr #103, Mansfield, TX and can be reached out via phone at 817-453-4404 and via fax at 817-453-4416.

Location: 1705 Fountainview Dr #103, Mansfield, TX, 76063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972771053
Provider Name
Mansfield Oral And Facial Surgery
Credential
Provider Entity Type
Organization
Address
1705 Fountainview Dr #103, Mansfield, TX, 76063
Phone Number
817-453-4404
Fax Number
817-453-4416
Provider Enumeration Date
02/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
176821001 05 TX
institution
Provider Business Practice Location Address Details
Address
1705 Fountainview Dr #103
City
Mansfield
State
Texas
Zip
76063
Phone Number
817-453-4404
Fax Number
817-453-4416
person
Provider Business Mailing Address Details
Address
1705 Fountainview Dr #103
City
Mansfield
State
Texas
Zip
76063
Phone Number
817-453-4404
Fax Number
817-453-4416
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
L9710 (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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