NPI age
19 years
Enumerated 2006-11-15
● Active Type 2 · Organization
Oral & Maxillofacial Surgery Of Tyler, Pc
Oral & Maxillofacial Surgery Of Tyler, Pc is 1 of 935 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Grace
Office Manager
Last NPPES update
2008-07-16
Source: monthly bulk 2026-05
How this organization compares
Across 935 active dentist providers in Texas.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
700 Olympic Plaza Cir Ste 412
Tyler, TX 757011952
Mailing address
700 Olympic Plaza Cir Ste 412
Tyler, TX 757011952
Authorized official
Jerri G. Grace
Office Manager
📞 9035955186
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Dennis Spence, D.D.S., M.S. Dentist NPI 1639241599
- Brian Stone, D.D.S., M.D. Dentist NPI 1265650071
Specialties
-
Dentist PrimaryThe 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 080858601 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Olympic Plaza Oral & Maxillofacial Surgery Assoc.
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.