# LAKE TRAVIS ORAL & MAXILLOFACIAL SURGERY, PLLC.

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

## Provider details

- **NPI number:** 1225321565
- **Authorized official:** DR. JEFFREY A. ALFORD DDS (PRESIDENT)
- **Authorized official phone:** (512) 261-6900

## Contact information

- **Practice address:** 1921 LOHMANS CROSSING, SUITE 208, LAKEWAY, TX 78734-5282
- **Practice address phone:** (512) 261-6900
- **Practice address fax:** (512) 532-0303
- **Mailing address:** 1921 LOHMANS CROSSING, SUITE 208, LAKEWAY, TX 78734-5282
- **Mailing address phone:** (512) 261-6900
- **Mailing address fax:** (512) 532-0303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 21279 | TX | Yes |

## Other

- **Enumeration date:** 05/19/2011
- **Last updated:** 05/19/2011