# LAS COLINAS ORAL & FACIAL SURGERY

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215161484
- **Authorized official:** MRS. KELLY PAYNE (OFFICE MANAGER)
- **Authorized official phone:** (972) 401-1100

## Contact information

- **Practice address:** 7437 LAS COLINAS BLVD, \#100, IRVING, TX 75063
- **Practice address phone:** (972) 401-1100
- **Mailing address:** 7437 LAS COLINAS BLVD., IRVING, TX 75063
- **Mailing address phone:** (972) 401-1100
- **Mailing address fax:** (972) 401-1125

## 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:** 05/04/2009
- **Last updated:** 07/28/2015