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TEXAS WISDOM TEETH SPECIALISTS
NPI 1134720337
Dentist - Oral and Maxillofacial Surgery in Fort Worth, TX

Active since November 04, 2020
8409 W CLEBURNE RD, FORT WORTH, TX 76123(214) 814-1057 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2020, Nov 4, 2020 (2 updates tracked since 2020).

About Texas Wisdom Teeth Specialists NPPES

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

TEXAS WISDOM TEETH SPECIALISTS (NPI 1134720337) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Worth, Texas and active in the NPI registry since November 2020. The organization lists Mark A Benage, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1134720337
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTEXAS WISDOM TEETH SPECIALISTS
Location Address8409 W CLEBURNE RDFort Worth, TX 76123-1421
Mailing Address129 Circle Club LnLongview, TX 75602-4866 · (903) 445-2433
Phone(214) 814-1057
Organization SubpartNo
Authorized OfficialMark A BenageGeneral Dentist · (972) 786-4307
Enumeration DateNovember 4, 2020
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1134720337 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.
8409 W CLEBURNE RD, Fort Worth, TX 76123
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEXTGEN SMILES LLC
Clinic/Center (Dental)
8409 W CLEBURNE RD
FORT WORTH, TX 76123
Tarrant County (817) 292-5927

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 Texas Wisdom Teeth Specialists's NPI number?

The NPI number for Texas Wisdom Teeth Specialists is 1134720337. It was assigned to this organization in the NPPES registry on November 4, 2020.

Where is Texas Wisdom Teeth Specialists located?

Texas Wisdom Teeth Specialists is located at 8409 W Cleburne Rd, Fort Worth, TX 76123. The listed phone number is (214) 814-1057.

What is Texas Wisdom Teeth Specialists'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 Texas Wisdom Teeth Specialists was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.