Active NPI
Wisdom Oral & Maxillofacial Surgery, PLLC
- Oral & Maxillofacial Surgery (D.M.D.)
- Prosper, TX
National Provider Identifier
1265319016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sammy Houari, DDS, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Prosper, TX
- NPI 1184156515
Oral & Maxillofacial Surgery
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.