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

Southwest Oral & Maxillofacial Surgery, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1558514588

Southwest Oral & Maxillofacial Surgery, PA is an Oral and Maxillofacial Surgery (Dentist) in Richardson, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 Buckingham Rd Ste 106
Richardson, TX 75081-5850
Phone: (972) 644-8500
Fax: (972) 644-0104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 10599 (TX)

Record details

NPI number1558514588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelle Hill — Business Manager · (972) 644-8500
NPI enumeratedNovember 4, 2008
Last updated in NPPESNovember 4, 2008
Mailing address1001 Buckingham Rd, Suite 106, Richardson, TX 75081-5850

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