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TYLER ORAL & FACIAL SURGERY INC.
NPI 1568654077
Dentist - Oral and Maxillofacial Surgery in Tyler, TX

Active since August 17, 2007
805 TURTLE CREEK DR, TYLER, TX 75701(903) 592-1664(903) 525-1099 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2023, Nov 29, 2022, Nov 21, 2022 and 2 more (5 updates tracked since 2020).

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 1568654077) is a healthcare organization registered as an oral and maxillofacial surgery in Tyler, Texas and active in the NPI registry since August 2007. The organization maintains a secondary practice location in Longview and lists Makoto Saigusa, V-pres., as its authorized official.

NPPES Registry Identity

NPI1568654077
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTYLER ORAL & FACIAL SURGERY INC.
Location Address805 TURTLE CREEK DRTyler, TX 75701-1937
Mailing Address805 Turtle Creek DrTyler, TX 75701-1937 · (903) 592-1664 · Fax (903) 525-1099
Phone(903) 592-1664
Fax(903) 525-1099
Organization SubpartNo
Authorized OfficialMakoto SaigusaV-pres. · (903) 592-1664
Enumeration DateAugust 17, 2007
Last NPPES UpdateJanuary 23, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1568654077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
805 TURTLE CREEK DR, Tyler, TX 75701
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Secondary Practice Location 1

Location 16 Doctor CirLongview, TX 75605-5050 · Phone (903) 592-1664 · Fax (903) 212-0677

Other Identifiers 1

Medicaid195647603-01TX

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Oral & Facial Surgery Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Tyler Oral & Facial Surgery Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Kourt Chatelain, DMD
Oral Surgery
NPI 1366685810
805 TURTLE CREEK DR
Tyler, TX 75701
(903) 592-1664
✔ PECOS✔ Accepts MedicareSame address
Ryan Hinkle, D.D.S, MD
Oral Surgery
NPI 1558780460
805 TURTLE CREEK DR
Tyler, TX 75701
(903) 592-1664
✔ PECOS✔ Accepts MedicareSame address
Danielle Jaul, DDS
Oral Surgery
NPI 1821518945
805 TURTLE CREEK DR
Tyler, TX 75701
(903) 592-1664
✔ PECOS✔ Accepts MedicareSame address
Makoto Saigusa, D.M.D, M.D.
General Practice
NPI 1417067497
805 TURTLE CREEK DR
Tyler, TX 75701
(903) 592-1664
✔ PECOS✔ Accepts MedicareSame address
Jayson Terres, DDS, MD, FACS, FAACS
General Surgery
NPI 1659448108
805 TURTLE CREEK DR
Tyler, TX 75701
(903) 592-1664
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1568654077. It was assigned to this organization in the NPPES registry on August 17, 2007.

Where is Tyler Oral & Facial Surgery Inc. located?

Tyler Oral & Facial Surgery Inc. is located at 805 Turtle Creek Dr, Tyler, TX 75701. The listed phone number is (903) 592-1664.

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.

Is Tyler Oral & Facial Surgery Inc. enrolled in Medicare?

Yes. Tyler Oral & Facial Surgery Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tyler Oral & Facial Surgery Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Tyler Oral & Facial Surgery Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Oral Surgery (3), General Practice (1) and General Surgery (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tyler Oral & Facial Surgery Inc. accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Tyler Oral & Facial Surgery Inc. 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 Tyler Oral & Facial Surgery Inc. was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.