# DR STAMBOULIEH ORAL AND MAXILLOFACIAL SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568625721
- **Authorized official:** DR. JASON NICHOLAS STAMBOULIEH DDS (PRESIDENT)
- **Authorized official phone:** (214) 385-1476

## Contact information

- **Practice address:** 2500 LEGACY DR, SUITE 230, FRISCO, TX 75034-5983
- **Practice address phone:** (214) 387-4900
- **Mailing address:** PO BOX 6200, FRISCO, TX 75035-0228
- **Mailing address phone:** (214) 385-1476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 21740 | TX | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 07/23/2008