National Provider Identifier Database

MARQUIS CENTER OF DALLAS PLLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes 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.


Contact Information

MARQUIS CENTER OF DALLAS PLLC
8215 WESTCHESTER DR STE 112
DALLAS, TX75225-6109
Phone: 618-402-6622
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for MARQUIS CENTER OF DALLAS PLLC

NPI Number 1124917836
Legal business name
LBN
MARQUIS CENTER OF DALLAS PLLC
Authorized official CLARK PETERSEN - (DIRECTOR OF INFRASTRUCTURE)
Entity Organization
Organization subpart No
Enumeration date 06/30/2025
Last updated 06/30/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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