TEXAS WISDOM TEETH & DENTAL IMPLANTS
NPI 1629428941
Dentist - Oral and Maxillofacial Surgery in Dallas, TX

Active since June 17, 2016
14856 PRESTON RD STE 104, DALLAS, TX 75254(972) 960-1111 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Texas Wisdom Teeth & Dental Implants NPPES

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

TEXAS WISDOM TEETH & DENTAL IMPLANTS (NPI 1629428941) is a healthcare organization registered as an oral and maxillofacial surgery in Dallas, Texas and active in the NPI registry since June 2016. The organization lists David Kotliar, Manager, as its authorized official.

NPPES Registry Identity

NPI1629428941
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTEXAS WISDOM TEETH & DENTAL IMPLANTS
Location Address14856 PRESTON RD STE 104Dallas, TX 75254-6844
Mailing Address14856 Preston Rd Ste 104Dallas, TX 75254-6844 · (972) 960-1111
Organization SubpartNo
Authorized OfficialDavid KotliarManager · (631) 365-3268
Enumeration DateJune 17, 2016
NPI 1629428941 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.
14856 PRESTON RD STE 104, Dallas, TX 75254

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

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Surgery)
14856 PRESTON RD STE 104
DALLAS, TX 75254

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 & Dental Implants's NPI number?

The NPI number for Texas Wisdom Teeth & Dental Implants is 1629428941. It was assigned to this organization in the NPPES registry on June 17, 2016.

Where is Texas Wisdom Teeth & Dental Implants located?

Texas Wisdom Teeth & Dental Implants is located at 14856 Preston Rd Ste 104, Dallas, TX 75254. The listed phone number is (972) 960-1111.

What is Texas Wisdom Teeth & Dental Implants's specialty?

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

What insurance does Texas Wisdom Teeth & Dental Implants accept?

Health plans from Solstice Healthplans of Texas, Inc. and UnitedHealthcare list Texas Wisdom Teeth & Dental Implants 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 Texas Wisdom Teeth & Dental Implants was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.