| Oral & Facial Surgery Group | |
|
508 Russell Blvd Nacogdoches TX 75965-1244 | |
| (936) 569-1111 | |
| (936) 564-0808 |
| Full Name | Oral & Facial Surgery Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 508 Russell Blvd, Nacogdoches, Texas |
| Authorized Official Name and Position | Gregory Scott Tate (OWNER) |
| Authorized Official Contact | 9365691111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Facial Surgery Group 508 Russell Blvd Nacogdoches TX 75965-1244 Ph: (936) 569-1111 | Oral & Facial Surgery Group 508 Russell Blvd Nacogdoches TX 75965-1244 Ph: (936) 569-1111 |
| NPI Number | 1487623104 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487623104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Texas) | Primary |
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