Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1124032263
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
New Copeland Road, Tyler, Smith County, Texas, 75703, United States
TYLER, TX 757017940
Phone: (903) 597-2848
Fax: (903) 593-9626
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75701)
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