Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dallas Oral and Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1417267451

Dallas Oral and Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010

Practice location Address checks out

6140 Sherry Ln
Dallas, TX 75225
Phone: (214) 363-6415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 13059 (TX)

Record details

NPI number1417267451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Banta — Owner/Dr · (214) 363-6415
NPI enumeratedOctober 8, 2010
Last updated in NPPESOctober 8, 2010
Mailing address6140 Sherry Ln, Dallas, TX 75225-6301

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