East Texas Oral & Maxillofacial Surgery Associates Inc.
NPI 1952459307 · Oral and Maxillofacial Surgery (Dentist) · Longview, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Texas Oral & Maxillofacial Surgery Associates Inc. is a Oral and Maxillofacial Surgery (Dentist) organization in Longview, TX (NPI 1952459307).
Provider details
- NPI number
- 1952459307
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Charlotte Wilks, Office Manager(903) 758-3444
- License
- 10700 (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
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2012-03-20
Frequently asked questions
- What is East Texas Oral & Maxillofacial Surgery Associates Inc.'s NPI number?
- East Texas Oral & Maxillofacial Surgery Associates Inc.'s National Provider Identifier (NPI) is 1952459307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Texas Oral & Maxillofacial Surgery Associates Inc.?
- East Texas Oral & Maxillofacial Surgery Associates Inc. is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is East Texas Oral & Maxillofacial Surgery Associates Inc. located?
- East Texas Oral & Maxillofacial Surgery Associates Inc.'s practice location on file with NPPES is 3004 H G Moseley Pkwy, Longview, TX 75605-2948.
- What is East Texas Oral & Maxillofacial Surgery Associates Inc.'s phone number?
- The practice phone number listed in the NPPES registry for East Texas Oral & Maxillofacial Surgery Associates Inc. is (903) 758-3444.
- Does East Texas Oral & Maxillofacial Surgery Associates Inc. accept Medicare?
- East Texas Oral & Maxillofacial Surgery Associates Inc. 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 East Texas Oral & Maxillofacial Surgery Associates Inc.?
- The authorized official listed on East Texas Oral & Maxillofacial Surgery Associates Inc.'s NPPES record is Charlotte Wilks, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Texas Oral & Maxillofacial Surgery Associates Inc.'s NPI active?
- Yes — East Texas Oral & Maxillofacial Surgery Associates Inc.'s NPI (1952459307) is active in the NPPES registry as of the last update on 2012-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.