NPI age
20 years
Enumerated 2005-08-30
● Active Type 2 · Organization
Aesthetic Oral & Facial Surgical Center Of The Southwest, Pc
Aesthetic Oral & Facial Surgical Center Of The Southwest, Pc is 1 of 42 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Starck
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 42 active clinic/center providers in Texas.
NPI age
20 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
1850 Keller Pkwy, Suite 102
Keller, TX 762483706
Mailing address
1850 Keller Pkwy, Suite 102
Keller, TX 762483706
Authorized official
William J Starck, DDS
President
📞 8174319566
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mazen Duraini, MD, DDS Dentist NPI 1457532848
- Tamara Miller, D.D.S. Dentist NPI 1508059759
Specialties
-
Clinic/Center 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.
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.