# WESTLAKE ORAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OMS PHYSICIANS GROUP PLLC
- **Other names:** Southlake Oral Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689430761
- **Legal business name:** OMS PHYSICIANS GROUP PLLC
- **Authorized official:** DR. BERT CAMERON WENDLING DDS (OWNER/SURGEON)
- **Authorized official phone:** (214) 205-8570

## Contact information

- **Practice address:** 311 W SOUTHLAKE BLVD STE 150, SOUTHLAKE, TX 76092-6186
- **Practice address phone:** (817) 424-1166
- **Mailing address:** 311 W SOUTHLAKE BLVD STE 150, SOUTHLAKE, TX 76092-6186
- **Mailing address phone:** (174) 241-1668

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 02/26/2024