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HERITAGE ORAL AND FACIAL SURGERY, PLLC
NPI 1588021950
Dentist - Oral and Maxillofacial Surgery in Jonesboro, TX

Active since January 15, 2016
1237 COUNTY ROAD 197, JONESBORO, TX 76538(254) 300-8804(254) 350-2868 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Oral And Facial Surgery, Pllc NPPES

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

HERITAGE ORAL AND FACIAL SURGERY, PLLC (NPI 1588021950) is a healthcare organization registered as an oral and maxillofacial surgery in Jonesboro, Texas and active in the NPI registry since January 2016. The organization lists Joseph Dylan Bowles, Manager, as its authorized official.

NPPES Registry Identity

NPI1588021950
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameHERITAGE ORAL AND FACIAL SURGERY, PLLC
Location Address1237 COUNTY ROAD 197Jonesboro, TX 76538-1207
Mailing Address1237 County Road 197Jonesboro, TX 76538-1207 · (254) 300-8804 · Fax (254) 350-2868
Phone(254) 300-8804
Fax(254) 350-2868
Organization SubpartNo
Authorized OfficialJoseph Dylan BowlesManager · (910) 922-9644
Enumeration DateJanuary 15, 2016
✔ NPI 1588021950 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 · 21840
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.

1237 COUNTY ROAD 197, Jonesboro, TX 76538
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Group Practice 1

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

TEXAS DENTAL IMPLANT CENTER
Dentist (Oral and Maxillofacial Surgery)
1237 COUNTY ROAD 197
JONESBORO, TX 76538
Coryell County (910) 922-9644

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 Heritage Oral And Facial Surgery, PLLC's NPI number?

The NPI number for Heritage Oral And Facial Surgery, PLLC is 1588021950. It was assigned to this organization in the NPPES registry on January 15, 2016.

Where is Heritage Oral And Facial Surgery, PLLC located?

Heritage Oral And Facial Surgery, PLLC is located at 1237 County Road 197, Jonesboro, TX 76538. The listed phone number is (254) 300-8804.

What is Heritage 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 Heritage Oral And Facial Surgery, PLLC was last updated on January 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.