Organization Active NPI

Sa Oral Surgeons, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
National Provider Identifier
1073868709
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
19330 Issued in TX
Legal business name
SA ORAL SURGEONS, PLLC
Practice address
8611 Hillcrest Ave
Ste. 235
Dallas, TX 75225-4207
Phone
(214) 269-1244
Fax
(214) 269-1245
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Emilio G Cruz
Title
Manager
Phone
(214) 543-1453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 19330 TX Primary

Addresses

Primary practice location

8611 Hillcrest Ave
Ste. 235
Dallas, TX 75225-4207

Mailing address

8611 Hillcrest Ave
Ste. 235
Dallas, TX 75225-4207
Phone (214) 269-1244

National Provider Directory

National Provider Directory

Locations

8611 Hillcrest Ave
Ste 235
Dallas, TX 75225
Phone (214) 269-1244

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1073868709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 HILLCREST AVE",
            "address_2": "STE. 235",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254207",
            "telephone_number": "214-269-1244",
            "fax_number": "214-269-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 HILLCREST AVE",
            "address_2": "STE. 235",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254207",
            "telephone_number": "214-269-1244",
            "fax_number": "214-269-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA ORAL SURGEONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-543-1453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "19330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.