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

Oral & Maxillofacial Surgery of Tyler, PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1154493922

Oral & Maxillofacial Surgery of Tyler, PC is an Oral and Maxillofacial Surgery (Dentist) in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

700 Olympic Plaza Cir Ste 412
Tyler, TX 75701-1952
Phone: (903) 595-5186
Fax: (903) 595-5240
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 10456 & 17107 (TX)

Record details

NPI number1154493922
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerri Grace — Office Manager · (903) 595-5186
Other names Olympic Plaza Oral & Maxillofacial Surgery Assoc.
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 16, 2008
Mailing address700 Olympic Plaza Cir Ste 412, Tyler, TX 75701-1952

Other providers in Tyler