AESTHETIC ORAL & FACIAL SURGICAL CENTER OF THE SOUTHWEST, PC – NPI #1790778314
Clinic/Center

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

AESTHETIC ORAL & FACIAL SURGICAL CENTER OF THE SOUTHWEST, PC is an AHC clinic located in KELLER, TX. NPPES has assigned the NPI number 1790778314 to AESTHETIC ORAL & FACIAL SURGICAL CENTER OF THE SOUTHWEST, PC on August 30, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AESTHETIC ORAL & FACIAL SURGICAL CENTER OF THE SOUTHWEST, PC below.

NPI Profile for
AESTHETIC ORAL & FACIAL SURGICAL CENTER OF THE SOUTHWEST, PC

NPI Number
1790778314
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AESTHETIC ORAL & FACIAL SURGICAL CENTER OF THE SOUTHWEST, PC
Primary location
1850 KELLER PKWY
SUITE 102
KELLER, TX 76248-3706
Phone: (817) 431-9566 Fax: (817) 337-8687
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM STARCK
PRESIDENT
Phone: (817) 431-9566
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)
TX 17519

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.