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

Texas Wisdom Teeth Specialists

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1134720337

Texas Wisdom Teeth Specialists 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

8409 W Cleburne Rd
Fort Worth, TX 76123-1421
Phone: (214) 814-1057
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 number1134720337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Benage — General Dentist · (972) 786-4307
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020
Mailing address129 Circle Club Ln, Longview, TX 75602-4866

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