# TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
- **Other names:** Texas A&M School of Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912918798
- **Legal business name:** TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
- **Authorized official:** KENNETH E. THOMAS (DIRECTOR)
- **Authorized official phone:** (214) 828-8234

## Contact information

- **Practice address:** 3000 GASTON AVE, DALLAS, TX 75226
- **Practice address phone:** (214) 828-8100
- **Practice address fax:** (214) 874-4552
- **Mailing address:** 3000 GASTON AVE, DALLAS, TX 75226
- **Mailing address phone:** (214) 828-8100
- **Mailing address fax:** (214) 874-4552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 21845 | TX | — |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 04/29/2026