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

Facial and Cosmetic Surgery of Fort Worth

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1720690100

Facial and Cosmetic Surgery of Fort Worth is an Oral and Maxillofacial Surgery (Dentist) in Fort Worth, Texas. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

5825 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4142
Phone: (817) 927-1818
Fax: (817) 927-2351
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

Record details

NPI number1720690100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Sonneveld — Single Member/Owner · (817) 927-1818
Other names Sonneveld Oral & Facial Surgery
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address5825 Edwards Ranch Rd Ste 200, Fort Worth, TX 76109-4142

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