# ORAL SURGERY ASSOCIATES OF NORTH TEXAS, PC

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

## Provider details

- **NPI number:** 1790898179
- **Authorized official:** DANIELLE JOHNSTON (CREDENTIALING)
- **Authorized official phone:** (512) 447-6685

## Contact information

- **Practice address:** 618 N HIGHWAY 67, CEDAR HILL, TX 75104-2139
- **Practice address phone:** (972) 291-0297
- **Mailing address:** 618 N HIGHWAY 67, CEDAR HILL, TX 75104-2139
- **Mailing address phone:** (972) 291-0297
- **Mailing address fax:** (972) 291-8260

## 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:** 08/17/2006
- **Last updated:** 08/11/2020