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ORAL & FACIAL SURGERY GROUP
NPI 1487623104
Dentist - Oral and Maxillofacial Surgery in Nacogdoches, TX

Active since March 15, 2006
508 RUSSELL BLVD, NACOGDOCHES, TX 75965(936) 569-1111(936) 564-0808 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2021, Oct 11, 2018 (2 updates tracked since 2018).

About Oral & Facial Surgery Group NPPES

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

ORAL & FACIAL SURGERY GROUP (NPI 1487623104) is a healthcare organization registered as an oral and maxillofacial surgery in Nacogdoches, Texas and active in the NPI registry since March 2006. The organization lists Gregory Scott Tate, Owner, as its authorized official.

NPPES Registry Identity

NPI1487623104
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDENTATE PLLC
Location Address508 RUSSELL BLVDNacogdoches, TX 75965-1244
Mailing Address508 Russell BlvdNacogdoches, TX 75965-1244 · (936) 569-1111 · Fax (936) 564-0808
Phone(936) 569-1111
Fax(936) 564-0808
Organization SubpartNo
Authorized OfficialGregory Scott TateOwner · (936) 569-1111
Enumeration DateMarch 15, 2006
Last NPPES UpdateAugust 20, 20212 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
✔ NPI 1487623104 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.
508 RUSSELL BLVD, Nacogdoches, TX 75965
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Other Names 1

Doing Business AsOral & Facial Surgery Group

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 45D1002115

Oral & Facial Surgery Group Of E T LLP · Nacogdoches, TX
Expired · Jul 28, 2026
CLIA Number45D1002115
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorRich L. Hurst
Laboratory Phone(936) 569-1111
Laboratory LocationOral & Facial Surgery Group Of E T LLP508 Russell Blvd, Nacogdoches, TX 75965
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. RICK LEE HURST DDS
Dentist (Oral and Maxillofacial Surgery)
508 RUSSELL BLVD
NACOGDOCHES, TX 75965
Nacogdoches County (936) 569-1111
DR. GREG S TATE DDS, MD
Dentist (Oral and Maxillofacial Surgery)
508 RUSSELL BLVD
NACOGDOCHES, TX 75965
Nacogdoches County (936) 569-1111

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 Dentate PLLC's NPI number?

The NPI number for Dentate PLLC is 1487623104. It was assigned to this organization in the NPPES registry on March 15, 2006. The provider is doing business as Oral & Facial Surgery Group.

Where is Dentate PLLC located?

Dentate PLLC is located at 508 Russell Blvd, Nacogdoches, TX 75965. The listed phone number is (936) 569-1111.

What is Dentate PLLC's specialty?

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

What insurance does Dentate PLLC accept?

Health plans from UnitedHealthcare list Dentate PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dentate PLLC was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.