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Wichita Falls Oral and Facial Surgery, Pllc

Oral and Maxillofacial Surgery (Dentist) in Wichita Falls, TX · enumerated 2015 · authorized official Clark Petersen, Operations Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255710752

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Registry record

Entity type Organization (Type 2)
Legal business name Wichita Falls Oral and Facial Surgery, Pllc
Other name <Unavail>
Practice address 2304 Midwestern Pkwy, Suite 102, Wichita Falls, TX, 76308
Phone (940) 696-1544
Enumeration date May 29, 2015
Last updated in NPPES May 29, 2015

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 24871 (TX) Primary

Authorized official

Name Clark Petersen
Title Operations Director
Phone (618) 402-6622

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Wichita Falls Oral and Facial Surgery, Pllc located?
The practice location on file with NPPES is in Wichita Falls, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-05-29. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-29.