Oral & Maxillofacial Network, P.L.L.C.
NPI 1417170655 · Oral and Maxillofacial Surgery (Dentist) · Fort Worth, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oral & Maxillofacial Network, P.L.L.C. is a Oral and Maxillofacial Surgery (Dentist) organization in Fort Worth, TX (NPI 1417170655).
Provider details
- NPI number
- 1417170655
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Holly Portwood, Chief Operating Officer(817) 920-6936
Specialties & taxonomies
Dental Providers
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
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2024-07-08
- Certified
- 2024-07-08
Frequently asked questions
- What is Oral & Maxillofacial Network, P.L.L.C.'s NPI number?
- Oral & Maxillofacial Network, P.L.L.C.'s National Provider Identifier (NPI) is 1417170655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oral & Maxillofacial Network, P.L.L.C.?
- Oral & Maxillofacial Network, P.L.L.C. is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Oral & Maxillofacial Network, P.L.L.C. located?
- Oral & Maxillofacial Network, P.L.L.C.'s practice location on file with NPPES is 1500 S Main St, Fort Worth, TX 76104-4917.
- What is Oral & Maxillofacial Network, P.L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Oral & Maxillofacial Network, P.L.L.C. is (817) 920-6936.
- Does Oral & Maxillofacial Network, P.L.L.C. accept Medicare?
- Oral & Maxillofacial Network, P.L.L.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Oral & Maxillofacial Network, P.L.L.C.?
- The authorized official listed on Oral & Maxillofacial Network, P.L.L.C.'s NPPES record is Holly Portwood, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oral & Maxillofacial Network, P.L.L.C.'s NPI active?
- Yes — Oral & Maxillofacial Network, P.L.L.C.'s NPI (1417170655) is active in the NPPES registry as of the last update on 2024-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.