Tyler Oral & Facial Surgery Inc.
LBN: Tyler Oral & Facial Surgery Inc.
Tyler Oral & Facial Surgery Inc. is an health care organization with primary practice located at 805 Turtle Creek Dr , Tyler TX 75701-1937. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Tyler Oral & Facial Surgery Inc. can be contacted via phone (903) 592-1664, or through Saigusa, Makoto via phone (903) 592-1664.
Contact Information
Primary practice address
805 Turtle Creek Dr
Tyler TX 75701-1937
Phone: (903) 592-1664
Fax: (903) 525-1099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X |
Profile Details
| NPI number | 1568654077 |
|---|---|
| LBN Legal business name | Tyler Oral & Facial Surgery Inc. |
| DBA Doing business as | |
| Authorized official | Saigusa, Makoto DMD, MD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2007 |
| Last updated | Jan 23rd, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568654077 | NPPES |
| Texas | MEDICAID | 195647603-01 |
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