East Texas Oral & Maxillofacial Surgery Associates Inc.
Oral and Maxillofacial Dental Clinic
3004 H G Moseley Pkwy, Longview
Texas, 75605-2948
903-758-3444 903-758-1967
Maps & DirectionsEast Texas Oral & Maxillofacial Surgery Associates Inc. is a Oral and Maxillofacial Dental Clinic in Longview, Texas. It is located at 3004 H G Moseley Pkwy, Longview, TX and its contact number is 903-758-3444. The authorized person for East Texas Oral & Maxillofacial Surgery Associates Inc. is Charlotte Marie Wilks
who is Office Manager of the clinic and their contact number is 903-758-3444. The primary license number for East Texas Oral & Maxillofacial Surgery Associates Inc. is 10700 (Oral and Maxillofacial Surgery) in Texas.
East Texas Oral & Maxillofacial Surgery Associates Inc. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
East Texas Oral & Maxillofacial Surgery Associates Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | East Texas Oral & Maxillofacial Surgery Associates Inc. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 3004 H G Moseley Pkwy, Longview,
Texas, 75605-2948 |
| Phone: | 903-758-3444 |
| Fax: | 903-758-1967 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Charlotte Marie Wilks |
| Position: | Office Manager |
| Contact Number: | 903-758-3444 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for East Texas Oral & Maxillofacial Surgery Associates Inc. clinic are as mentioned below.
| NPI Number: | 1952459307 |
| NPI Enumeration Date: | 08 Jan, 2007 |
| NPI Last Update On: | 20 Mar, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Texas Oral & Maxillofacial Surgery Associates Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 10700 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 111312801 | Medicaid | Texas | |
| 111312802 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | East Texas Oral & Maxillofacial Surgery Associates Inc.
3004 H G Moseley Pkwy,
Longview, Texas |
| Zip: | 75605-2948 |
| Phone Number: | 903-758-3444 |
| Fax Number: | 903-758-1967 |
Patients can reach East Texas Oral & Maxillofacial Surgery Associates Inc. at
3004 H G Moseley Pkwy, Longview, Texas or can
call to book an appointment on 903-758-3444.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.