NPI age
10 years
Enumerated 2015-05-29
● Active Type 2 · Organization
Wichita Falls Oral And Facial Surgery, Pllc
Wichita Falls Oral And Facial Surgery, Pllc 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
Petersen
Operations Director
Last NPPES update
2015-05-29
Source: monthly bulk 2026-05
How this organization compares
Across 935 active dentist providers in Texas.
NPI age
10 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-05Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
2304 Midwestern Pkwy, Suite 102
Wichita Falls, TX 763082342
Mailing address
4447 N Central Expy, Suite 110, Pmb 434
Dallas, TX 752054245
Authorized official
Clark Allen Petersen
Operations Director
📞 6184026622
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Charles Hickman, DDS Dentist NPI 1548321177
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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Texoma Facial and Oral Surgery
Practice context
Multi-provider organization. 1 individual provider 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.