# ORAL AND MAXILLOFACIAL SURGEONS, SW, PC

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

## Provider details

- **NPI number:** 1528249505
- **Authorized official:** WILLIAM V. JORDAN III DDS (PRESIDENT)
- **Authorized official phone:** (281) 242-2848

## Contact information

- **Practice address:** 3501 TOWN CENTER BLVD S, SUGAR LAND, TX 77479-1285
- **Practice address phone:** (281) 242-2848
- **Practice address fax:** (281) 242-9172
- **Mailing address:** 3501 TOWN CENTER BLVD S, SUGAR LAND, TX 77479-1285
- **Mailing address phone:** (281) 242-2848
- **Mailing address fax:** (281) 242-9172

## 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:** 11/19/2007
- **Last updated:** 11/19/2007