Oral & Maxillofacial Surgery of Tyler, PC
NPI 1154493922 · Oral and Maxillofacial Surgery (Dentist) · Tyler, TX
Oral & Maxillofacial Surgery of Tyler, PC is a Oral and Maxillofacial Surgery (Dentist) organization in Tyler, TX (NPI 1154493922).
Provider details
- NPI number
- 1154493922
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Jerri Grace, Office Manager(903) 595-5186
- License
- 10456 & 17107 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Olympic Plaza Oral & Maxillofacial Surgery Assoc.
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2008-07-16
Frequently asked questions
- What is Oral & Maxillofacial Surgery of Tyler, PC's NPI number?
- Oral & Maxillofacial Surgery of Tyler, PC's National Provider Identifier (NPI) is 1154493922, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oral & Maxillofacial Surgery of Tyler, PC?
- Oral & Maxillofacial Surgery of Tyler, PC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Oral & Maxillofacial Surgery of Tyler, PC located?
- Oral & Maxillofacial Surgery of Tyler, PC's practice location on file with NPPES is 700 Olympic Plaza Cir Ste 412, Tyler, TX 75701-1952.
- What is Oral & Maxillofacial Surgery of Tyler, PC's phone number?
- The practice phone number listed in the NPPES registry for Oral & Maxillofacial Surgery of Tyler, PC is (903) 595-5186.
- Who is the authorized official for Oral & Maxillofacial Surgery of Tyler, PC?
- The authorized official listed on Oral & Maxillofacial Surgery of Tyler, PC's NPPES record is Jerri Grace, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oral & Maxillofacial Surgery of Tyler, PC's NPI active?
- Yes — Oral & Maxillofacial Surgery of Tyler, PC's NPI (1154493922) is active in the NPPES registry as of the last update on 2008-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.