| Oral And Facial Surgery Of North Texas | |
|
591 W Main St # 150 Lewisville TX 75057-3628 | |
| (972) 434-0050 | |
| (972) 434-0095 |
| Full Name | Oral And Facial Surgery Of North Texas |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 591 W Main St # 150, Lewisville, Texas |
| Authorized Official Name and Position | Richard John Martin (OWNER) |
| Authorized Official Contact | 9724340050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Facial Surgery Of North Texas 591 W Main St # 150 Lewisville TX 75057-3628 Ph: (972) 434-0050 | Oral And Facial Surgery Of North Texas 591 W Main St # 150 Lewisville TX 75057-3628 Ph: (972) 434-0050 |
| NPI Number | 1942691597 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942691597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20753 (Texas) | Primary |
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