Oral & Maxillofacial Network, P.l.l.c.
Oral and Maxillofacial Pathology Clinic
1500 S Main St, Fort Worth
Texas, 76104-4917
817-920-6936 817-702-1035
Maps & DirectionsOral & Maxillofacial Network, P.l.l.c. is a Oral and Maxillofacial Pathology Clinic in Fort Worth, Texas. It is located at 1500 S Main St, Fort Worth, TX and its contact number is 817-920-6936. The authorized person for Oral & Maxillofacial Network, P.l.l.c. is Holly Marie Portwood
who is Chief Operating Officer of the clinic and their contact number is 817-920-6936.
Oral & Maxillofacial Network, P.l.l.c. Clinic is specialized in that branch of dentistry and pathology which deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Complete Clinic Profile:
Oral & Maxillofacial Network, P.l.l.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Oral & Maxillofacial Network, P.l.l.c. |
| Specialization: | Oral and Maxillofacial Pathology |
| Clinic Address: | 1500 S Main St, Fort Worth,
Texas, 76104-4917 |
| Phone: | 817-920-6936 |
| Fax: | 817-702-1035 |
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: | Holly Marie Portwood |
| Position: | Chief Operating Officer |
| Contact Number: | 817-920-6936 |
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 Oral & Maxillofacial Network, P.l.l.c. clinic are as mentioned below.
| NPI Number: | 1417170655 |
| NPI Enumeration Date: | 10 Apr, 2007 |
| NPI Last Update On: | 08 Jul, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Oral & Maxillofacial Network, P.l.l.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
| Oral and Maxillofacial Pathology | | | Secondary | |
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 |
| 180717401 | Medicaid | Texas | |
| G60225-01 | Other | Texas | Tx Chip Delta Dental |
| 48MZ | Other | Texas | Blue Cross Blue Shield |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Oral & Maxillofacial Network, P.l.l.c.
1500 S Main St,
Fort Worth, Texas |
| Zip: | 76104-4917 |
| Phone Number: | 817-920-6936 |
| Fax Number: | 817-927-1497 |
Patients can reach Oral & Maxillofacial Network, P.l.l.c. at
1500 S Main St, Fort Worth, Texas or can
call to book an appointment on 817-920-6936.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.