# TEXAS ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1821219767
- **Authorized official:** MALCOM SCOTT DDS (PRESIDENT)
- **Authorized official phone:** (512) 371-1222

## Contact information

- **Practice address:** 4400-1 E CENTRAL TEXAS EXPY, KILLEEN, TX 76543-7313
- **Practice address phone:** (225) 469-9355
- **Practice address fax:** (254) 699-3894
- **Mailing address:** 7517 CAMERON RD, SUITE 107, AUSTIN, TX 78752-2057
- **Mailing address phone:** (512) 371-1222
- **Mailing address fax:** (512) 371-3914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22583 | TX | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 08/22/2020