NPI 1770537508

University of Texas Southwestern Medical Center at Dallas

Organisation Oral & Maxillofacial Surgery (D.M.D.) Dallas, TX

Practice location

Address: 5323 Harry Hines Blvd, Dallas, TX 75390-7208
Phone: (214) 645-0624
Fax: (214) 645-0078
Mailing address: PO Box 845347, Dallas, TX 75284-5347

Authorised official

Name: Bruce A. Meyer
Title: Executive Vice President
Phone: (214) 645-0624

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

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Registry record

NPI: 1770537508
Entity type: Organization
NPI issued: 19 May 2006
Record last updated: 15 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.