The Center for Oral, Facial, and Implant Surgery PA

NPI #1467694208 in Mansfield, Texas

Provider Information

NPI Number: 1467694208
Entity Type: Organization
Organization Name: The Center for Oral, Facial, and Implant Surgery PA
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Mar 25, 2009
Last Updated: Mar 25, 2009

Practice Location

Address: 2310 HIGHWAY 157 N
Address 2: SUITE 103
City: Mansfield
State: Texas
ZIP Code: 76063-8844
Phone: (817) 477-0922

Authorized Official

Name: MICHAEL DERAE SHEPPARD, OMS
Title: PRESIDENT
Phone: (817) 477-0922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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DR. Michael Derae Sheppard, DDS	Dentist - Oral and Maxillofacial Surgery	Mansfield	AI Deep Dive
DR. Macey Brooke Cartrite, DDS, MD	Dentist - Oral and Maxillofacial Surgery	Mansfield	AI Deep Dive

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