# OMS PHYSICIANS GROUP PLLC

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

## Provider details

- **NPI number:** 1770711392
- **Authorized official:** GREGORY DAVID TAYLOR DDS, M.D. (OWNER)
- **Authorized official phone:** (817) 424-1166

## Contact information

- **Practice address:** 1422 MAIN ST, SUITE 240, SOUTHLAKE, TX 76092-7625
- **Practice address phone:** (817) 424-1166
- **Mailing address:** 1422 MAIN ST, SUITE 240, SOUTHLAKE, TX 76092-7625
- **Mailing address phone:** (817) 424-1166

## 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:** 06/23/2009
- **Last updated:** 06/23/2009