# TCOSDI COLLEYVILLE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TEXAS CENTER FOR ORAL SURGERY & DENTAL IMPLANTS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356245997
- **Legal business name:** TEXAS CENTER FOR ORAL SURGERY & DENTAL IMPLANTS, LLC
- **Authorized official:** AARON VICKERS DDS, MD (OWNER)
- **Authorized official phone:** (972) 436-1513

## Contact information

- **Practice address:** 6904 COLLEYVILLE BLVD, COLLEYVILLE, TX 76034-6288
- **Practice address phone:** (972) 436-1513
- **Practice address fax:** (972) 436-0618
- **Mailing address:** 651 CROSS TIMBERS RD STE 103, FLOWER MOUND, TX 75028-1300
- **Mailing address phone:** (872) 436-1513
- **Mailing address fax:** (972) 436-0618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2026
- **Last updated:** 10/06/2026