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General NPI Number Information
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NPI Number | 1093673618
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Entity Type | Organization
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Legal Business Name | TYLER ORAL & FACIAL SURGERY INC.
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2800 E HIGHWAY 114 STE 360
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City | TROPHY CLUB
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State | TX
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Zip | 76262-5309
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Country | US
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Telephone | 682-514-9026
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Fax | 682-514-9275
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Provider Business Mailing Address
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Address Line | 2800 E HIGHWAY 114 STE 360
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City | TROPHY CLUB
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State | TX
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Zip | 76262-5309
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Country | US
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Telephone | 682-514-9026
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Fax | 682-514-9275
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Authorized Official
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Title or Position | RCM SUPERVISOR
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Name | KATIE HARRIS
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Credential |
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Telephone | 903-592-1664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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