Healthcare Provider Details

I. General information

NPI: 1144758954
Provider Name (Legal Business Name): TELFAIR ORAL AND MAXILLOFACIAL SURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13440 UNIVERSITY BLVD STE 250
SUGAR LAND TX
77479-4798
US

IV. Provider business mailing address

13440 UNIVERSITY BLVD STE 250
SUGAR LAND TX
77479-4909
US

V. Phone/Fax

Practice location:
  • Phone: 281-766-7720
  • Fax:
Mailing address:
  • Phone: 832-500-4321
  • Fax: 281-990-6835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS0112X
TaxonomyOral and Maxillofacial Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KYOKO YAMAJI
Title or Position: OWNER
Credential:
Phone: 281-766-7720