Facial and Cosmetic Surgery of Fort Worth

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

FACIAL AND COSMETIC SURGERY OF FORT WORTH

Practice address

5825 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4142

Phone

(817) 927-1818

Fax

(817) 927-2351

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Keith Andrew Sonneveld, DDSNPI 1386058584

Title

Single Member/Owner

Phone

(817) 927-1818

Specialties & licenses 1

Addresses

Other names 1

• Sonneveld Oral & Facial Surgery Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Sonneveld, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Worth, TX
  • NPI 1386058584
  NPD Authorized official
• Max Gregory Neill, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Worth, TX
  • NPI 1538156658
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1720690100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 EDWARDS RANCH RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094142",
            "telephone_number": "817-927-1818",
            "fax_number": "817-927-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 EDWARDS RANCH RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094142",
            "telephone_number": "817-927-1818",
            "fax_number": "817-927-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL AND COSMETIC SURGERY OF FORT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "SONNEVELD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "SINGLE MEMBER/OWNER",
        "authorized_official_telephone_number": "817-927-1818",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonneveld Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Andrew Fabela, M.D.
• Ashly Dawn Fabian
• Fabos Community Intersection, LLC
• Alexandria Fabry
• Oyeyemi Adetokunbo Fabuyi, M.D.
• Facial and Oral Surgery Associates, PLLC
• Eniola Oladosu Fagbongbe, M.D.
• Abimbola Olufunke Fagun
• Sarah Faheem, MD
• Al Edward Faigin, DO

• Oral and Maxillofacial Surgery (Dentist) in Fort Worth, TX
• Providers in Fort Worth, 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 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.