Organization Active NPI

Coppell Oral and Facial Surgery, PLLC

Doing business as Coppell Oral and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Coppell, TX
National Provider Identifier
1407341191
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
32448 Issued in TX
Legal business name
COPPELL ORAL AND FACIAL SURGERY, PLLC
Doing business as
Coppell Oral and Facial Surgery
Practice address
600 S Denton Tap Rd Ste 300
Coppell, TX 75019-4533
Phone
(972) 366-0065
Fax
(972) 744-3305
NPI assigned
Jun 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Dr. Igor N Tikhonov, DDS, MD
Title
Owner/Doctor
Phone
(972) 366-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 32448 TX Primary

Addresses

Primary practice location

600 S Denton Tap Rd Ste 300
Coppell, TX 75019-4533

Mailing address

600 S Denton Tap Rd Ste 300
Coppell, TX 75019-4533
Phone (972) 366-0065

Other practice location 1

220 S Denton Tap Rd Ste 101
Coppell, TX 75019-5098
Phone (206) 719-8396

Other names 1

  • Coppell Oral and Facial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

600 S Denton Tap Rd
Ste 300
Coppell, TX 75019
Phone (206) 719-8396

220 S Denton Tap Rd
Ste 101
Coppell, TX 75019
Phone (206) 719-8396

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1407341191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S DENTON TAP RD STE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194533",
            "telephone_number": "972-366-0065",
            "fax_number": "972-744-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DENTON TAP RD STE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194533",
            "telephone_number": "972-366-0065",
            "fax_number": "972-744-3305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 S Denton Tap Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750195098",
            "country_code": "US",
            "telephone_number": "206-719-8396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COPPELL ORAL AND FACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "TIKHONOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "972-366-0065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "32448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coppell Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.