Organization Active NPI

Tarrant County Oral and Maxillofacial Surgery LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Hurst, TX
National Provider Identifier
1225824758
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
TARRANT COUNTY ORAL AND MAXILLOFACIAL SURGERY LLC
Practice address
613 W Harwood Rd
Hurst, TX 76054-3161
Phone
(817) 268-4108
NPI assigned
Apr 21, 2025
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Isherpreet Shergill, MD, DDSNPI 1316204696
Title
Director
Phone
(312) 451-9563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

613 W Harwood Rd
Hurst, TX 76054-3161

Mailing address

613 W Harwood Rd
Hurst, TX 76054-3161
Phone (817) 268-4108

National Provider Directory

National Provider Directory

Locations

613 W Harwood Rd
Hurst, TX 76054
Phone (817) 268-4108

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1225824758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 W HARWOOD RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543161",
            "telephone_number": "817-268-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W HARWOOD RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543161",
            "telephone_number": "817-268-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRANT COUNTY ORAL AND MAXILLOFACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "SHERGILL",
        "authorized_official_first_name": "ISHERPREET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-451-9563",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.