# METROPLEX ORA L AND FACIAL SURGERY

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

## Provider details

- **NPI number:** 1528243094
- **Authorized official:** DR. JAMES R LUCENTE DDS, MD (DOCTOR/OWNER)
- **Authorized official phone:** (972) 698-8500

## Contact information

- **Practice address:** 2762 N GALLOWAY AVE, \#100, MESQUITE, TX 75150
- **Practice address phone:** (972) 698-8500
- **Practice address fax:** (972) 698-8505
- **Mailing address:** 2762 N GALLOWAY AVE, \#100, MESQUITE, TX 75150
- **Mailing address phone:** (972) 698-8500
- **Mailing address fax:** (972) 698-8505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | I9710 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 08/09/2013
