FACIAL AND COSMETIC SURGERY OF FORT WORTH
NPI 1720690100
Dentist - Oral and Maxillofacial Surgery in Fort Worth, TX

Q: What is Facial And Cosmetic Surgery Of Fort Worth's specialty?

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

Active since August 18, 2020

5825 EDWARDS RANCH RD STE 200, FORT WORTH, TX 76109(817) 927-1818(817) 927-2351 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Facial And Cosmetic Surgery Of Fort Worth NPPES

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

FACIAL AND COSMETIC SURGERY OF FORT WORTH (NPI 1720690100), doing business as Sonneveld Oral & Facial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Fort Worth, Texas and active in the NPI registry since August 2020. The organization lists Keith Andrew Sonneveld, Single Member/owner, as its authorized official.

NPPES Registry Identity

NPI1720690100

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameFACIAL AND COSMETIC SURGERY OF FORT WORTH

Location Address5825 EDWARDS RANCH RD STE 200Fort Worth, TX 76109-4142

Mailing Address5825 Edwards Ranch Rd Ste 200Fort Worth, TX 76109-4142 · (817) 927-1818 · Fax (817) 927-2351

Phone(817) 927-1818

Fax(817) 927-2351

Organization SubpartNo

Authorized OfficialKeith Andrew SonneveldSingle Member/owner · (817) 927-1818

Enumeration DateAugust 18, 2020

Last NPPES UpdateAugust 29, 2025

NPPES CertifiedAugust 29, 2025

✔ NPI 1720690100 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.

5825 EDWARDS RANCH RD STE 200, Fort Worth, TX 76109

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Other Names 1

Doing Business AsSonneveld Oral & Facial 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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.

DR. KEITH SONNEVELD DDS

Dentist (Oral and Maxillofacial Surgery)

5825 EDWARDS RANCH RD STE 200
FORT WORTH, TX 76109

Tarrant County (817) 927-1818

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 Facial And Cosmetic Surgery Of Fort Worth's NPI number?

The NPI number for Facial And Cosmetic Surgery Of Fort Worth is 1720690100. It was assigned to this organization in the NPPES registry on August 18, 2020. The provider is doing business as Sonneveld Oral & Facial Surgery.

Where is Facial And Cosmetic Surgery Of Fort Worth located?

Facial And Cosmetic Surgery Of Fort Worth is located at 5825 Edwards Ranch Rd Ste 200, Fort Worth, TX 76109. The listed phone number is (817) 927-1818.

What is Facial And Cosmetic Surgery Of Fort Worth's specialty?

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

What insurance does Facial And Cosmetic Surgery Of Fort Worth accept?

Health plans from Blue Cross and Blue Shield of Texas list Facial And Cosmetic Surgery Of Fort Worth 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 Facial And Cosmetic Surgery Of Fort Worth was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.