DR. ROBERT JASON PAVELKA (NPI# 1700845930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700845930 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JASON PAVELKA |
| Credential | D.D.S., M.D. |
| Practice Address |
400 S Cottonwood Dr Suite B Richardson TX 75080-5708 |
| Practice Telephone | 9722316661 |
| Practice Fax Number | 9722313161 |
| Mailing Telephone | 9722316661 |
| Mailing Fax Number | 9722313161 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
L8883 | TX | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
19346 | TX | Dental Providers |
| Street Address |
400 S COTTONWOOD DR SUITE B |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760501944 | J.c. Boley, D.d.s., M.s., Inc. | Dentist | 400 S Cottonwood Dr, Richardson, TX 75080-5708 | 2007-03-28 |
| 1154447415 | Miro A Pavelka | Dentist | 400 S Cottonwood Dr, Suite B, Richardson, TX 75080-5708 | 2007-03-21 |
| 1760497291 | Richardson Oral & Maxillofacial Surgery Associates, Inc. | Dentist | 400 S Cottonwood Dr, Suite B, Richardson, TX 75080-5708 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891206066 | Samuel W Robinson, Dds, Pllc | Dentist | 1070 W Campbell Rd Ste 200, Richardson, TX 75080-2987 | 2017-10-16 |
| 1497077374 | Roy Lawrence Wilson | Dentist | 1404 Cheyenne Dr, Richardson, TX 75080-3921 | 2010-02-19 |
| 1013392463 | Richardson Oral Surgery and Implant Center Pllc | Dentist | 1070 W Campbell Rd, Suite 200, Richardson, TX 75080-2941 | 2015-07-28 |
| 1558514588 | Southwest Oral & Maxillofacial Surgery, P.a. | Dentist | 1001 Buckingham Rd, Suite 106, Richardson, TX 75081-5850 | 2008-11-04 |
| 1154447415 | Miro A Pavelka | Dentist | 400 S Cottonwood Dr, Suite B, Richardson, TX 75080-5708 | 2007-03-21 |
| 1588754915 | Stephen C Hill | Dentist | 1001 Buckingham Rd, Suite 106, Richardson, TX 75081-5850 | 2006-10-14 |
| 1760497291 | Richardson Oral & Maxillofacial Surgery Associates, Inc. | Dentist | 400 S Cottonwood Dr, Suite B, Richardson, TX 75080-5708 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
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| 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.