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PALESTINE ORAL FACIAL SURGERY GROUP PLLC NPI 1396237624


NPI Information

NPI: 1396237624
Provider Name: PALESTINE ORAL FACIAL SURGERY GROUP PLLC

Doing Business As: SOUTHERN SURGICAL ARTS

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1721 S SYCAMORE ST
PALESTINE, TX
ZIP 75801
Phone: (903) 723-5111
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PALESTINE ORAL FACIAL SURGERY GROUP PLLC is an oral and maxillofacial surgery dentist in Palestine, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PALESTINE ORAL FACIAL SURGERY GROUP PLLC NPI is 1396237624. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Surgical Arts.

The provider's business location address is:

1721 S SYCAMORE ST
PALESTINE, TX
ZIP 75801-921
Phone: (903) 723-5111
Fax: (903) 723-0328

The provider's authorized official is Charles G Stone .
The authorized official title is Owner and has the following contact phone number (903) 520-6448.

The enumeration date for this NPI number is 6/1/2018 and was last updated on 6/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery20511TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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