1. Home
  2. Directory
  3. Texas
  4. Willow Park
  5. Dentist
  6. NPI Profile

KOVACH ORAL SURGERY, PLLC
NPI 1962888149
Dentist - Oral and Maxillofacial Surgery in Willow Park, TX

Active since August 10, 2015
4969 E INTERSTATE 20 SERVICE RD N, WILLOW PARK, TX 76087(817) 441-5000(817) 441-5003 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kovach Oral Surgery, Pllc NPPES

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

KOVACH ORAL SURGERY, PLLC (NPI 1962888149) is a healthcare organization registered as an oral and maxillofacial surgery in Willow Park, Texas and active in the NPI registry since August 2015. The organization lists Todd A Kovach, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1962888149
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameKOVACH ORAL SURGERY, PLLC
Location Address4969 E INTERSTATE 20 SERVICE RD NWillow Park, TX 76087-3220
Mailing Address4969 E Interstate 20 Service Rd NWillow Park, TX 76087-3220 · (817) 441-5000 · Fax (817) 441-5003
Phone(817) 441-5000
Fax(817) 441-5003
Organization SubpartNo
Authorized OfficialTodd A KovachManaging Member · (817) 441-5000
Enumeration DateAugust 10, 2015
Last NPPES UpdateMarch 3, 2017
✔ NPI 1962888149 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 · 23925
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.
4969 E INTERSTATE 20 SERVICE RD N, Willow Park, TX 76087
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES

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

TODD AUSTIN KOVACH DDS, MD
Dentist (Oral and Maxillofacial Surgery)
4969 E INTERSTATE 20 SERVICE RD N, SUITE 108
WILLOW PARK, TX 76087
Parker County (817) 441-5000

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 Kovach Oral Surgery, PLLC's NPI number?

The NPI number for Kovach Oral Surgery, PLLC is 1962888149. It was assigned to this organization in the NPPES registry on August 10, 2015.

Where is Kovach Oral Surgery, PLLC located?

Kovach Oral Surgery, PLLC is located at 4969 E Interstate 20 Service Rd N, Willow Park, TX 76087. The listed phone number is (817) 441-5000.

What is Kovach Oral 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 Kovach Oral Surgery, PLLC was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.