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TYLER ORAL & FACIAL SURGERY INC.
NPI 1093673618
Dentist - Oral and Maxillofacial Surgery in Trophy Club, TX

Active since January 13, 2026CLIA 45D1006769 · Waiver
2800 E HIGHWAY 114 STE 360, TROPHY CLUB, TX 76262(682) 514-9026(682) 514-9275 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Oral & Facial Surgery Inc. NPPES

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

TYLER ORAL & FACIAL SURGERY INC. (NPI 1093673618) is a healthcare organization registered as an oral and maxillofacial surgery in Trophy Club, Texas and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Katie Harris, Rcm Supervisor, as its authorized official.

NPPES Registry Identity

NPI1093673618
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTYLER ORAL & FACIAL SURGERY INC.
Location Address2800 E HIGHWAY 114 STE 360Trophy Club, TX 76262-5309
Mailing Address2800 E Highway 114 Ste 360Trophy Club, TX 76262-5309 · (682) 514-9026 · Fax (682) 514-9275
Phone(682) 514-9026
Fax(682) 514-9275
Organization SubpartYes
Authorized OfficialKatie HarrisRcm Supervisor · (903) 592-1664
Enumeration DateJanuary 13, 2026
NPPES CertifiedJanuary 13, 2026
✔ NPI 1093673618 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.
2800 E HIGHWAY 114 STE 360, Trophy Club, TX 76262
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1006769

Tyler Oral & Facial Surgery, Inc · Tyler, TX
Active · expires Nov 26, 2026
CLIA Number45D1006769
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2024
Certificate Expiration DateNovember 26, 2026
Laboratory DirectorMakoto Saigusa
Laboratory Phone(903) 592-1664
Laboratory LocationTyler Oral & Facial Surgery, Inc805 Turtle Creek Drive, Tyler, TX 75701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tyler Oral & Facial Surgery Inc.'s NPI number?

The NPI number for Tyler Oral & Facial Surgery Inc. is 1093673618. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is Tyler Oral & Facial Surgery Inc. located?

Tyler Oral & Facial Surgery Inc. is located at 2800 E Highway 114 Ste 360, Trophy Club, TX 76262. The listed phone number is (682) 514-9026.

What is Tyler Oral & Facial Surgery Inc.'s specialty?

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

Does Tyler Oral & Facial Surgery Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1006769) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tyler Oral & Facial Surgery Inc. was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.