Organization
ORAL SURGERY ASSOCIATES OF NORTH TEXAS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JOHNSTON (CREDENTIALING)
(512) 447-6685
Entity
Organization
Contact information
Practice address
618 N HIGHWAY 67, CEDAR HILL, TX 75104-2139
(972) 291-0297
Mailing address
618 N HIGHWAY 67, CEDAR HILL, TX 75104-2139
(972) 291-0297
(972) 291-8260
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082927701
—
TX
Enumeration date
08/17/2006
Last updated
08/11/2020
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