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East Texas Oral & Maxillofacial Surgery Associates Inc.

Oral and Maxillofacial Surgery (Dentist) in Longview, TX · enumerated 2007 · authorized official Charlotte Wilks, Office Manager.

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

National Provider Identifier

1952459307

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Registry record

Entity type Organization (Type 2)
Legal business name East Texas Oral & Maxillofacial Surgery Associates Inc.
Practice address 3004 H G Moseley Pkwy, Longview, TX, 75605
Fax (903) 758-1967
Enumeration date Jan 8, 2007
Last updated in NPPES Mar 20, 2012

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 10700 (TX) Primary

Authorized official

Name Charlotte Wilks
Title Office Manager

Other identifiers

Identifier Type State Issuer
111312801 Medicaid TX -
111312802 Medicaid TX -

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

What type of organization is East Texas Oral & Maxillofacial Surgery Associates Inc.?
East Texas Oral & Maxillofacial Surgery Associates Inc. is registered in NPPES as a Oral and Maxillofacial Surgery (Dentist) (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-20.