# NORTH TEXAS CENTER FOR ORAL AND MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1710249479
- **Authorized official:** ANDREW SOHN MD, DMD (PRESIDENT)
- **Authorized official phone:** (817) 490-9979

## Contact information

- **Practice address:** 2800 STATE HIGHWAY 114, SUITE 340, TROPHY CLUB, TX 76262
- **Practice address phone:** (817) 490-9979
- **Practice address fax:** (817) 490-1442
- **Mailing address:** 2800 STATE HWY 114, SUITE 340, TROPHY CLUB, TX 76262
- **Mailing address phone:** (817) 490-9979
- **Mailing address fax:** (817) 490-1442

## 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:** 06/08/2012
- **Last updated:** 06/08/2012