ORAL AND MAXILLOFACIAL SURGEONS OF NORTHEAST TEXAS, P. A.
NPI 1902052095
Dentist - Oral and Maxillofacial Surgery in Texarkana, TX

Active since August 08, 2008
1701 MOORES LN, TEXARKANA, TX 75503(903) 794-3331 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oral And Maxillofacial Surgeons Of Northeast Texas, P. A. NPPES

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

ORAL AND MAXILLOFACIAL SURGEONS OF NORTHEAST TEXAS, P. A. (NPI 1902052095) is a healthcare organization registered as an oral and maxillofacial surgery in Texarkana, Texas and active in the NPI registry since August 2008. The organization lists Kirby Leon Bunel, President, as its authorized official.

NPPES Registry Identity

NPI1902052095
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL AND MAXILLOFACIAL SURGEONS OF NORTHEAST TEXAS, P. A.
Location Address1701 MOORES LNTexarkana, TX 75503-1894
Mailing Address1701 Moores LnTexarkana, TX 75503-1894
Organization SubpartNo
Authorized OfficialKirby Leon BunelPresident · (903) 794-3331
Enumeration DateAugust 8, 2008
NPI 1902052095 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.
1701 MOORES LN, Texarkana, TX 75503

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 5

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

Oral & Maxillofacial Surgery
1701 MOORES LN
TEXARKANA, TX 75503
Dentist (Oral and Maxillofacial Surgery)
1701 MOORES LN
TEXARKANA, TX 75503
Dentist (Oral and Maxillofacial Surgery)
1701 MOORES LN
TEXARKANA, TX 75503
Dentist (Oral and Maxillofacial Surgery)
1701 MOORES LN
TEXARKANA, TX 75503
Dentist (Oral and Maxillofacial Surgery)
1701 MOORES LN
TEXARKANA, TX 75503

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 Oral And Maxillofacial Surgeons Of Northeast Texas, P. A.'s NPI number?

The NPI number for Oral And Maxillofacial Surgeons Of Northeast Texas, P. A. is 1902052095. It was assigned to this organization in the NPPES registry on August 8, 2008.

Where is Oral And Maxillofacial Surgeons Of Northeast Texas, P. A. located?

Oral And Maxillofacial Surgeons Of Northeast Texas, P. A. is located at 1701 Moores Ln, Texarkana, TX 75503. The listed phone number is (903) 794-3331.

What is Oral And Maxillofacial Surgeons Of Northeast Texas, P. A.'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 Oral And Maxillofacial Surgeons Of Northeast Texas, P. A. was last updated on August 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.