OrganizationActive
Marquis Center of Dallas PLLC
NPI 1124917836 · Oral and Maxillofacial Surgery Clinic/Center · Dallas, TX
Provider details
- NPI number
- 1124917836
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clark Petersen, Director of Infrastructure(618) 402-6622
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
8215 Westchester Dr Ste 112
Dallas, TX 75225-6109
Phone: (618) 402-6622
Approximate (ZIP-level) locationGet directions
Mailing address
4447 N Central Expy Ste 110
Dallas, TX 75205-4246
Registry dates
- Enumerated
- 2025-06-30
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.