# TRINITY VALLEY ORAL SURGERY & DENTAL IMPLANT CENTER

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

## Provider details

- **NPI number:** 1912185703
- **Authorized official:** DR. WILLIAM RALPH PHILLIPS MD (OWNER)
- **Authorized official phone:** (469) 689-0704

## Contact information

- **Practice address:** 215 S. FM 548, SUITE C, FORNEY, TX 75126
- **Practice address phone:** (469) 689-0704
- **Practice address fax:** (469) 689-0709
- **Mailing address:** 215 S. FM 548, SUITE C, FORNEY, TX 75126
- **Mailing address phone:** (469) 689-0704
- **Mailing address fax:** (469) 689-0709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 19017 | TX | Yes |

## Other

- **Enumeration date:** 02/05/2008
- **Last updated:** 02/05/2008