Organization Active NPI

Wisdom Oral & Maxillofacial Surgery, PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Prosper, TX
National Provider Identifier
1265319016
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
WISDOM ORAL & MAXILLOFACIAL SURGERY, PLLC
Practice address
1180 N Coit Rd Ste 40
Prosper, TX 75078-9819
Phone
(469) 296-8680
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Sammy Houari, DDS, MDNPI 1184156515
Title
Owner
Phone
(469) 296-8680

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 & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

1180 N Coit Rd Ste 40
Prosper, TX 75078-9819

Mailing address

1180 N Coit Rd Ste 40
Prosper, TX 75078-9819
Phone (469) 296-8680

Other names 1

  • Texas Dental Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1265319016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N COIT RD STE 40",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789819",
            "telephone_number": "469-296-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N COIT RD STE 40",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789819",
            "telephone_number": "469-296-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM ORAL & MAXILLOFACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "HOUARI",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-296-8680",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Dental Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.