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

East Texas Oral & Maxillofacial Surgery Associates Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1952459307

East Texas Oral & Maxillofacial Surgery Associates Inc is an Oral and Maxillofacial Surgery (Dentist) in Longview, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3004 H G Moseley Pkwy
Longview, TX 75605-2948
Phone: (903) 758-3444
Fax: (903) 758-1967
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 10700 (TX)

Record details

NPI number1952459307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Wilks — Office Manager · (903) 758-3444
NPI enumeratedJanuary 8, 2007
Last updated in NPPESMarch 20, 2012
Mailing address3004 H G Moseley Pkwy, Longview, TX 75605-2948