Olympic Plaza Oral & Maxillofacial Surgery Assoc. – Oral and Maxillofacial Surgery (Dentist), NPI 1154493922

Olympic Plaza Oral & Maxillofacial Surgery Assoc. is a healthcare provider. based in Tyler, Texas. specializing in Oral and Maxillofacial Surgery (Dentist). The organization holds a License No. 10456 & 17107 (TX). The NPI Number for Olympic Plaza Oral & Maxillofacial Surgery Assoc. is 1154493922

Main info

Organization
Name
Olympic Plaza Oral & Maxillofacial Surgery Assoc.
NPI
1154493922
Phone
(903) 595-5186
Address
700 OLYMPIC PLAZA CIR STE 412
Authorized Official
JERRI G. GRACE OFFICE MANAGER
Enumeration Date
15 November 2006
Last Update Date
16 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Olympic Plaza Oral & Maxillofacial Surgery Assoc.

  • 700 OLYMPIC PLAZA CIR STE 412

    TYLER, TX 757011952

    Phone: (903) 595-5186

    Fax: (903) 595-5240

    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)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

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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Frequently asked questions

What unique ID ties claims to Olympic Plaza Oral & Maxillofacial Surgery Assoc.?
NPI 1154493922 is assigned to Olympic Plaza Oral & Maxillofacial Surgery Assoc. under the national enumeration system.
Is Olympic Plaza Oral & Maxillofacial Surgery Assoc.'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does Olympic Plaza Oral & Maxillofacial Surgery Assoc. treat or focus on?
Patients typically see Olympic Plaza Oral & Maxillofacial Surgery Assoc. under the specialty Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What location shows for Olympic Plaza Oral & Maxillofacial Surgery Assoc.?
We surface Tyler, Texas for Olympic Plaza Oral & Maxillofacial Surgery Assoc. based on available NPPES addresses.
Is Olympic Plaza Oral & Maxillofacial Surgery Assoc. a real provider?
This page reflects official NPPES data for NPI 1154493922. Always confirm identity and privileges with the practice and licensing boards.

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