# DFW ORAL SURGEONS PLLC

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

## Provider details

- **NPI number:** 1619284270
- **Authorized official:** AMANDA SHAW (OFFICE MANAGER)
- **Authorized official phone:** (972) 539-1491

## Contact information

- **Practice address:** 3700 FORUMS DR, SUITE 203, FLOWER MOUND, TX 75028-1860
- **Practice address phone:** (972) 539-1491
- **Practice address fax:** (972) 539-3489
- **Mailing address:** 3700 FORUMS DR, SUITE 203, FLOWER MOUND, TX 75028-1860
- **Mailing address phone:** (972) 539-1491
- **Mailing address fax:** (972) 539-3489

## 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:** 09/02/2010
- **Last updated:** 09/02/2010