# PARK CITIES ORAL & MAXILLOFACIAL SURGERY ASSOC. PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174670376
- **Authorized official:** DR. WILLIAM RALPH PHILLIPS DDS, MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (214) 363-2475

## Contact information

- **Practice address:** 6140 SHERRY LANE, DALLAS, TX 75225
- **Practice address phone:** (214) 363-2475
- **Practice address fax:** (214) 528-5510
- **Mailing address:** 6140 SHERRY LANE, DALLAS, TX 75225
- **Mailing address phone:** (214) 363-2475
- **Mailing address fax:** (214) 528-5510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | L7848 | TX | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 03/12/2018