# TYLER ORAL & FACIAL SURGERY INC.

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

## Provider details

- **NPI number:** 1568654077
- **Authorized official:** DR. MAKOTO SAIGUSA DMD, MD (V-PRES.)
- **Authorized official phone:** (903) 592-1664

## Contact information

- **Practice address:** 805 TURTLE CREEK DR, TYLER, TX 75701-1937
- **Practice address phone:** (903) 592-1664
- **Practice address fax:** (903) 525-1099
- **Mailing address:** 805 TURTLE CREEK DR, TYLER, TX 75701-1937
- **Mailing address phone:** (903) 592-1664
- **Mailing address fax:** (903) 525-1099

## Taxonomy

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

## Other

- **Enumeration date:** 08/17/2007
- **Last updated:** 01/23/2023