# HERITAGE ORAL AND FACIAL SURGERY, PLLC

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

## Provider details

- **NPI number:** 1588021950
- **Authorized official:** DR. JOSEPH DYLAN BOWLES DDS (MANAGER)
- **Authorized official phone:** (910) 922-9644

## Contact information

- **Practice address:** 1237 COUNTY ROAD 197, JONESBORO, TX 76538-1207
- **Practice address phone:** (254) 300-8804
- **Practice address fax:** (254) 350-2868
- **Mailing address:** 1237 COUNTY ROAD 197, JONESBORO, TX 76538-1207
- **Mailing address phone:** (254) 300-8804
- **Mailing address fax:** (254) 350-2868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 21840 | TX | Yes |

## Other

- **Enumeration date:** 01/15/2016
- **Last updated:** 01/15/2016