| North Texas Oral And Facial Surgery | |
|
2300 W Fm 544 Ste 240 Wylie TX 75098-4931 | |
| (469) 596-7722 | |
| (469) 596-7720 |
| Full Name | North Texas Oral And Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2300 W Fm 544 Ste 240, Wylie, Texas |
| Authorized Official Name and Position | Glory Quiett (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9182978951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Oral And Facial Surgery 2300 W Fm 544 Ste 240 Wylie TX 75098-4931 Ph: (469) 596-7722 | North Texas Oral And Facial Surgery 2300 W Fm 544 Ste 240 Wylie TX 75098-4931 Ph: (469) 596-7722 |
| NPI Number | 1033759584 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033759584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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