TEXOMA FACIAL AND ORAL SURGERY
NPI 1255710752
Dentist - Oral and Maxillofacial Surgery in Wichita Falls, TX

Active since May 29, 2015
2304 MIDWESTERN PKWY, SUITE 102, WICHITA FALLS, TX 76308(940) 696-1544 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Texoma Facial And Oral Surgery NPPES

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

TEXOMA FACIAL AND ORAL SURGERY (NPI 1255710752) is a healthcare organization registered as an oral and maxillofacial surgery in Wichita Falls, Texas and active in the NPI registry since May 2015. The organization lists Clark Allen Petersen, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1255710752
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWICHITA FALLS ORAL AND FACIAL SURGERY, PLLC
Location Address2304 MIDWESTERN PKWY, SUITE 102Wichita Falls, TX 76308-2342
Mailing Address4447 N Central Expy, Suite 110, Pmb 434Dallas, TX 75205-4245 · (800) 215-6530
Organization SubpartNo
Authorized OfficialClark Allen PetersenOperations Director · (618) 402-6622
Enumeration DateMay 29, 2015
NPI 1255710752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TX · 24871
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.
2304 MIDWESTERN PKWY, Wichita Falls, TX 76308

Other Names 1

Doing Business AsTexoma Facial And Oral Surgery

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 4

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

Home Health
2304 MIDWESTERN PKWY, STE 206
WICHITA FALLS, TX 76308
Dentist (Oral and Maxillofacial Surgery)
2304 MIDWESTERN PKWY, SUITE 102
WICHITA FALLS, TX 76308
Counselor (Professional)
2304 MIDWESTERN PKWY, SUITE 103A
WICHITA FALLS, TX 76308
Counselor (Professional)
2304 MIDWESTERN PKWY, STE. 103A
WICHITA FALLS, TX 76308

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 Wichita Falls Oral And Facial Surgery, PLLC's NPI number?

The NPI number for Wichita Falls Oral And Facial Surgery, PLLC is 1255710752. It was assigned to this organization in the NPPES registry on May 29, 2015. The provider is doing business as Texoma Facial And Oral Surgery.

Where is Wichita Falls Oral And Facial Surgery, PLLC located?

Wichita Falls Oral And Facial Surgery, PLLC is located at 2304 Midwestern Pkwy Suite 102, Wichita Falls, TX 76308. The listed phone number is (940) 696-1544.

What is Wichita Falls Oral And Facial Surgery, PLLC'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 Wichita Falls Oral And Facial Surgery, PLLC was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.