NPI 1891673240
Highland Park Oral and Maxillofacial Surgery PLLC
Practice location
- Address
- 3001 Knox St STE 301, Dallas, TX 75205-5593
- Phone
- (817) 717-3071
- Mailing address
- 550 Reserve St STE 330, Southlake, TX 76092-1599
Authorised official
- Name
- David Kostohryz
- Title
- Owner
- Phone
- (817) 731-2789
Registered specialties
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Registry record
- NPI
- 1891673240
- Entity type
- Organization
- NPI issued
- 25 Aug 2025
- Record last updated
- 25 Aug 2025
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.