NPI age
19 years
Enumerated 2007-01-08
● Active Type 2 · Organization
East Texas Oral & Maxillofacial Surgery Associates Inc.
East Texas Oral & Maxillofacial Surgery Associates Inc. 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
Wilks
Office Manager
Last NPPES update
2012-03-20
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 · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3004 H G Moseley Pkwy
Longview, TX 756052948
Mailing address
3004 H G Moseley Pkwy
Longview, TX 756052948
Authorized official
Charlotte Marie Wilks
Office Manager
📞 9037583444
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) | 111312801 | |
| 05 (TX) | 111312802 |
Practice context
Single-site organization. Only one practice location on file.
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