# TYLER ORAL & FACIAL SURGERY INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TYLER ORAL & FACIAL SURGERY INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093673618
- **Legal business name:** TYLER ORAL & FACIAL SURGERY INC.
- **Authorized official:** KATIE HARRIS (RCM SUPERVISOR)
- **Authorized official phone:** (903) 592-1664

## Contact information

- **Practice address:** 2800 E HIGHWAY 114 STE 360, TROPHY CLUB, TX 76262-5309
- **Practice address phone:** (682) 514-9026
- **Practice address fax:** (682) 514-9275
- **Mailing address:** 2800 E HIGHWAY 114 STE 360, TROPHY CLUB, TX 76262-5309
- **Mailing address phone:** (682) 514-9026
- **Mailing address fax:** (682) 514-9275

## 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:** 01/13/2026
- **Last updated:** 01/13/2026
