Active NPI
Tyler Oral & Facial Surgery Inc.
- Oral and Maxillofacial Surgery (Dentist)
- Trophy Club, TX
National Provider Identifier
1093673618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- TYLER ORAL & FACIAL SURGERY INC.
- Practice address
- 2800 E Highway 114 Ste 360
Trophy Club, TX 76262-5309 - Phone
- (682) 514-9026
- Fax
- (682) 514-9275
- NPI assigned
- Jan 13, 2026
- Organization subpart
- Yes
- Parent organization
- TYLER ORAL & FACIAL SURGERY INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Harris
- Title
- RCM Supervisor
- Phone
- (903) 592-1664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
2800 E Highway 114 Ste 360
Trophy Club, TX 76262-5309
Mailing address
2800 E Highway 114 Ste 360
Trophy Club, TX 76262-5309
Phone (682) 514-9026
National Provider Directory
National Provider Directory- Tax ID family
- Tyler Oral Facial Surgery Inc
- Part of
- Tyler Oral Facial Surgery Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery (Dentist)
- Tyler, TX
- NPI 1568654077
Locations
2800 E Highway 114
Ste 360
Trophy Club, TX 76262
Phone (682) 514-9026
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Oral and Maxillofacial Surgery (Dentist)
- Tyler, TX
- NPI 1568654077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768262400000",
"number": "1093673618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E HIGHWAY 114 STE 360",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "762625309",
"telephone_number": "682-514-9026",
"fax_number": "682-514-9275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E HIGHWAY 114 STE 360",
"city": "TROPHY CLUB",
"state": "TX",
"postal_code": "762625309",
"telephone_number": "682-514-9026",
"fax_number": "682-514-9275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYLER ORAL & FACIAL SURGERY INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TYLER ORAL & FACIAL SURGERY INC.",
"enumeration_date": "2026-01-13",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "RCM SUPERVISOR",
"authorized_official_telephone_number": "903-592-1664"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trophy Club, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.