# ORAL AND FACIAL SURGERY OF NORTH TEXAS

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

## Provider details

- **NPI number:** 1942691597
- **Authorized official:** DR. RICHARD JOHN MARTIN DDS (OWNER)
- **Authorized official phone:** (972) 434-0050

## Contact information

- **Practice address:** 591 W MAIN ST \# 150, LEWISVILLE, TX 75057-3628
- **Practice address phone:** (972) 434-0050
- **Practice address fax:** (972) 434-0095
- **Mailing address:** 591 W MAIN ST \# 150, LEWISVILLE, TX 75057-3628
- **Mailing address phone:** (972) 434-0050
- **Mailing address fax:** (972) 434-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 20753 | TX | Yes |

## Other

- **Enumeration date:** 02/17/2015
- **Last updated:** 02/17/2015