Trevor Liljenquist

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

42375 Issued in TX

Practice address

2304 W Interstate 20 Ste 150
Arlington, TX 76017-1674

Phone

(817) 466-8080

NPI assigned

Apr 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park Forest Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Arlington, TX
  • NPI 1790910776
  NPD (past)

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1235718628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 W INTERSTATE 20 STE 150",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171674",
            "telephone_number": "817-466-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 W INTERSTATE 20 STE 150",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171674",
            "telephone_number": "817-466-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILJENQUIST",
        "first_name": "TREVOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "42375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeway Community Care & Sitting Services
• Lifeway Family Chiropractic PC
• Lighthouse Anesthesia PLLC.
• Lighthouse Counseling & Assessments, PLLC
• Lighthouse of Care Inc.
• Helen J Lim, MD
• Sung Min Lim, DDS
• Limestone Homecare Services
• Samantha Limon, RBT
• Billiken T Lin, MD

• Oral and Maxillofacial Surgery (Dentist) in Arlington, TX
• Providers in Arlington, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.