ALAMO MAXILLOFACIAL SURGICAL ASSOCIATES, PA


Address: 4499 Medical Dr, Suite #190, San Antonio, TX 78229-3735
Phone: 2106143915

ALAMO MAXILLOFACIAL SURGICAL ASSOCIATES, PA (NPI# 1417006065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417006065
Entity Type Organization
Organization Name ALAMO MAXILLOFACIAL SURGICAL ASSOCIATES, PA
Practice Address 4499 Medical Dr
Suite #190
San Antonio
TX 78229-3735
Practice Telephone 2106143915
Practice Fax Number 2106143918
Mailing Telephone 2106143915
Mailing Fax Number 2106143918
Enumeration Date 2007-01-10
Last Update Date 2016-04-25
Authorized Official Name MRS. KELLY ANN SHY (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 2106143915
Authorized Official Credential MHSM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 079997501 05
TX MEDICARE 0014AW 01

Office Location

Street Address 4499 MEDICAL DR
SUITE #190
City SAN ANTONIO
State TX
Zip Code 78229-3735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922001395 Sheldon G. Gross Psychiatry & Neurology 4499 Medical Dr, Ste 396, San Antonio, TX 78229-3713 2005-05-31
1033718994 Adam Mitchell Sahyouni Nurse Practitioner 4499 Medical Dr, San Antonio, TX 78229-3735 2020-10-21
1679116974 Katherine St. George Counselor 4499 Medical Dr, San Antonio, TX 78229-3735 2019-10-21
1639723240 Mary Cassandra Fuller Nurse Practitioner 4499 Medical Dr, San Antonio, TX 78229-3735 2019-07-31
1528432135 Steven Michael Rodriguez Nurse Practitioner 4499 Medical Dr, Suite 166, San Antonio, TX 78229-3771 2015-11-19
1912301748 Amarie Chambers Nurse Practitioner 4499 Medical Dr, Suite 289, San Antonio, TX 78229-3735 2014-10-22
1922407253 K & L Obgyn Inc Obstetrics & Gynecology 4499 Medical Dr, Suite 191, San Antonio, TX 78229-3735 2014-08-22
1144649153 Olivia A Funes Physician Assistant 4499 Medical Dr, Suite 151a, San Antonio, TX 78229-3735 2014-04-08
1942630132 Kimberly C Irwin, Md,pa Specialist 4499 Medical Dr, Suite 261, San Antonio, TX 78229-3735 2013-11-25
1801220850 Terry Quinn Romo Nurse Practitioner 4499 Medical Dr, Suite 280, San Antonio, TX 78229-3735 2013-08-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245857226 Lyndsey A Sandoval Optometrist 7400 Minton Miner St, San Antonio, TX 78229 2020-06-25
1295355311 Nicolet Finger Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 2020-04-18
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1740822972 Mohammad Safaie Yazdi Student in an Organized Health Care Education/Training Program Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 2019-10-09
1063053072 Blas Edward Villa Nurse Practitioner 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 2019-10-01
1124673942 Integrity Dme Services LLC Durable Medical Equipment & Medical Supplies 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 2019-08-08
1730734120 Marisa Erin Leyden Speech-Language Pathologist Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 2019-08-03
1285295741 Alireza Ghezavati Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 2019-06-25
1407410285 Denae Cheyenne Rushing Student in an Organized Health Care Education/Training Program 8201 Floyd Curl Drive, San Antonio, TX 78229 2019-04-26
1265993570 Shehzad Amlani Student in an Organized Health Care Education/Training Program Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 2019-03-28
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568080497 San Antonio Wisdom Teeth, Pllc Dentist 13535 Hausman Pass #102-a, San Antonio, TX 78249 2020-07-07
1023596061 Albert L. Ouellette, Dds, Pllc Dentist 1202 E Sonterra Blvd Ste 801, San Antonio, TX 78258-4095 2018-08-01
1154726131 Rafael Antonio Gavilanes Dentist 1005 Ave General Ramey Ste 1, San Antonio, PR 00690 2014-11-03
1952710949 Ryan M Leonhart Dds Md Pllc Dentist 6530 W Loop 1604 N, Suite 101, San Antonio, TX 78254-6319 2014-08-05
1023424090 Jabir Alhumaid Dentist 7703 Floyd Curl Dr # Mc7908, Oral and Maxillofacial Surgery Uthscsa, San Antonio, TX 78229-3901 2014-07-10
1013292614 Glen A Fritz Dentist 16789 N Us Highway 281, Your Ortho Team, PC, San Antonio, TX 78232-2349 2011-10-14
1699065383 Patricia E. Lopez Dentist 7703 Floyd Drive - Dept. Oral & Maxillofacial Surgery, University of Texas Health Science Center At San Antoni, San Antonio, TX 78229-3900 2011-04-14
1962734160 J. Andrew Jackson, D.d.s. Ltd., LLP Dentist 600 Division, Suite E., San Antonio, TX 78214 2010-02-12
1508097817 Daniel Enrique Perez Dentist 8210 Floyd Curl Dr Dept Oral, San Antonio, TX 78229-3923 2009-08-04
1871787291 Adam Joseph Verrett Dentist 4499 Medical Dr Ste 190, San Antonio, TX 78229-3768 2007-08-29
Find all providers in SAN ANTONIO

Competitor

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City SAN ANTONIO
Zip Code 78229

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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