MEDICARE: TEXAS ORAL AND MAXILLOFACIAL SURGERY, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS0112X	Oral and Maxillofacial Surgery Clinic/Center

General Provider Information

NPI Number	:	1881850766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS ORAL AND MAXILLOFACIAL SURGERY, P.A.

Provider Business Mailing Address
First Line	:	3001 KNOX ST
Second Line	:	SUITE 301
City	:	DALLAS
State	:	TX
Zip	:	75205-5584
Country	:	US
Telephone Number	:	214-824-8960
Fax Number	:	214-824-8984

Provider Business Practice Location Address
First Line	:	3001 KNOX ST
Second Line	:	SUITE 301
City	:	DALLAS
State	:	TX
Zip	:	75205-5584
Country	:	US
Telephone Number	:	214-824-8960
Fax Number	:	214-824-8984

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES D. BATES
Credential	:	D.D.S., M.D.
Telephone Number	:	214-824-8960

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	07/31/2008

Similar Medicare Providers

1730172347 — DR. JAMES DOUGLAS BATES D.D.S., M.D.
Practice Location Address:

3001 KNOX ST , SUITE 301
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75205-5584

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1780692376 — DR. CHARLES IVAN WILLIAMS SR. D.D.S.
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Practice Location Address:

3001 KNOX ST , SUITE 300
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75205-5584

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Practice Location Address:

3001 KNOX ST , SUITE 300
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1750449328 — DR. DERRICK ASKINS D.D.S
Practice Location Address:

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Practice Location Address:

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Practice Fax:

Directions to “TEXAS ORAL AND MAXILLOFACIAL SURGERY, P.A. ” Practice Location

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