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EAST TEXAS ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC.
NPI 1952459307
Dentist - Oral and Maxillofacial Surgery in Longview, TX

Active since January 08, 2007
3004 H G MOSELEY PKWY, LONGVIEW, TX 75605(903) 758-3444(903) 758-1967 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Texas Oral & Maxillofacial Surgery Associates Inc. NPPES

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

EAST TEXAS ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC. (NPI 1952459307) is a healthcare organization registered as an oral and maxillofacial surgery in Longview, Texas and active in the NPI registry since January 2007. The organization lists Charlotte Marie Wilks, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1952459307
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEAST TEXAS ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC.
Location Address3004 H G MOSELEY PKWYLongview, TX 75605-2948
Mailing Address3004 H G Moseley PkwyLongview, TX 75605-2948 · (903) 758-3444 · Fax (903) 758-1967
Phone(903) 758-3444
Fax(903) 758-1967
Organization SubpartNo
Authorized OfficialCharlotte Marie WilksOffice Manager · (903) 758-3444
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 20, 2012
✔ NPI 1952459307 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 · 10700
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.
3004 H G MOSELEY PKWY, Longview, TX 75605
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Other Identifiers 3

Medicaid111312801TX
Medicaid111312802TX
Medicare UPIN00K83QTX

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 DentaQuest USA Insurance Company, Inc..Insurance ›

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 East Texas Oral & Maxillofacial Surgery Associates Inc.'s NPI number?

The NPI number for East Texas Oral & Maxillofacial Surgery Associates Inc. is 1952459307. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is East Texas Oral & Maxillofacial Surgery Associates Inc. located?

East Texas Oral & Maxillofacial Surgery Associates Inc. is located at 3004 H G Moseley Pkwy, Longview, TX 75605. The listed phone number is (903) 758-3444.

What is East Texas Oral & Maxillofacial Surgery Associates Inc.'s specialty?

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

What insurance does East Texas Oral & Maxillofacial Surgery Associates Inc. accept?

Health plans from DentaQuest USA Insurance Company, Inc. list East Texas Oral & Maxillofacial Surgery Associates 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 East Texas Oral & Maxillofacial Surgery Associates Inc. was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.