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CLEBURNE ORAL SURGERY PA
NPI 1043023088
Dentist - Oral and Maxillofacial Surgery in Cleburne, TX

Active since January 31, 2025
2010 W KATHERINE P RAINES RD STE 700, CLEBURNE, TX 76033(817) 357-8999(817) 357-8998 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Cleburne Oral Surgery Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEBURNE ORAL SURGERY PA (NPI 1043023088) is a healthcare organization registered as an oral and maxillofacial surgery in Cleburne, Texas and active in the NPI registry since January 2025. The organization lists David Wayne Kostohryz, Owner, as its authorized official.

NPPES Registry Identity

NPI1043023088
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCLEBURNE ORAL SURGERY PA
Location Address2010 W KATHERINE P RAINES RD STE 700Cleburne, TX 76033-7462
Mailing Address2010 W Katherine P Raines Rd Ste 700Cleburne, TX 76033-7462 · (817) 357-8999
Phone(817) 357-8999
Fax(817) 357-8998
Organization SubpartNo
Authorized OfficialDavid Wayne KostohryzOwner · (817) 357-8999
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1043023088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
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.
2010 W KATHERINE P RAINES RD STE 700, Cleburne, TX 76033
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cleburne Oral Surgery PA's NPI number?

The NPI number for Cleburne Oral Surgery PA is 1043023088. It was assigned to this organization in the NPPES registry on January 31, 2025.

Where is Cleburne Oral Surgery PA located?

Cleburne Oral Surgery PA is located at 2010 W Katherine P Raines Rd Ste 700, Cleburne, TX 76033. The listed phone number is (817) 357-8999.

What is Cleburne Oral Surgery PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Cleburne Oral Surgery PA was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.