# AMAREN SURGICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Texas Oral and Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033759584
- **Authorized official:** GLORY QUIETT (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (918) 297-8951

## Contact information

- **Practice address:** 2300 W FM 544 STE 240, WYLIE, TX 75098-4931
- **Practice address phone:** (469) 596-7722
- **Practice address fax:** (469) 596-7720
- **Mailing address:** 2300 W FM 544 STE 240, WYLIE, TX 75098-4931
- **Mailing address phone:** (469) 596-7722
- **Mailing address fax:** (469) 596-7720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2020
- **Last updated:** 05/14/2021