TEXAS ORAL MAXILLOFACIAL SURGERY ASSOCIATES, PLLC (NPI# 1821219866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821219866 |
| Entity Type | Organization |
| Organization Name | TEXAS ORAL MAXILLOFACIAL SURGERY ASSOCIATES, PLLC |
| Practice Address |
5656 Bee Cave Rd Suite C102 West Lake Hills TX 78746-5280 |
| Mailing Address |
7517 Cameron Rd Suite 107 Austin TX 78752-2057 |
| Practice Telephone | 5123279933 |
| Practice Fax Number | 5123279944 |
| Mailing Telephone | 5123711222 |
| Mailing Fax Number | 5123713914 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MALCOLM RAY SCOTT (PRESIDENT) |
| Authorized Official Telephone | 5123711222 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
15192 | TX | Dental Providers |
| Street Address |
5656 BEE CAVE RD SUITE C102 |
| City | WEST LAKE HILLS |
| State | TX |
| Zip Code | 78746-5280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637439 | Kristan Megan Cogan-sais | Physical Therapist | 5656 Bee Cave Rd, Ste 101-b, West Lake Hills, TX 78746-5280 | 2005-05-23 |
| 1407293947 | Thomas Fugate Smith Md Pa | Allergy & Immunology | 5656 Bee Cave Rd, Ste G201, West Lake Hills, TX 78746-5280 | 2013-05-23 |
| 1851631261 | Kyle Raymond,pa | Dentist | 5656 Bee Cave Rd, B 104, West Lake Hills, TX 78746-5280 | 2013-02-21 |
| 1225304793 | Ada Vanessa Flood | Physician Assistant | 5656 Bee Cave Rd, J-202, West Lake Hills, TX 78746-5280 | 2012-03-28 |
| 1033483086 | Rockdale Blackhawk LLC | General Practice | 5656 Bee Cave Rd, Suite M-300, West Lake Hills, TX 78746-5280 | 2012-03-07 |
| 1124399092 | Amanda A Trott, Md Pa | Allergy & Immunology | 5656 Bee Cave Rd, Ste G201, West Lake Hills, TX 78746-5280 | 2012-01-24 |
| 1457621740 | Paul Scibielski Md Pa | Allergy & Immunology | 5656 Bee Cave Rd, Suite G201, West Lake Hills, TX 78746-5280 | 2012-01-04 |
| 1780969097 | Innovative Physicians | Family Medicine | 5656 Bee Cave Rd, E-200, West Lake Hills, TX 78746-5280 | 2011-10-18 |
| 1942595327 | June L Kassell | Nurse Practitioner | 5656 Bee Cave Rd, Suite D-203, West Lake Hills, TX 78746-5280 | 2011-06-14 |
| 1740597962 | Eric D Schultz, Do Pa | Allergy & Immunology | 5656 Bee Cave Rd, Suite D205, West Lake Hills, TX 78746-5280 | 2010-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1205468782 | Fernanda Barcelo | Counselor | 1004 Mopac Circle, Suite 100, Austin, TX 78746 | 2020-02-12 |
| 1689219842 | Explorer Dental, Pllc | Clinic/Center | 3300 Bee Caves Road Suite 290, Austin, TX 78746 | 2019-11-12 |
| 1992354765 | Janna Harris | Psychologist | 3801 N. Cap. Tx. Hwy; E240-157, Austin, TX 78746 | 2019-09-05 |
| 1922652346 | Katherine Grace Robertson | Registered Nurse | 2001 South Mopac Expwy, #824, Austin, TX 78746 | 2019-07-25 |
| 1780248252 | Brooklie Benson Gonzales | Counselor | 5000 Bee Caves Road, Suite 100, Austin, TX 78746 | 2019-04-30 |
| 1447714910 | Erik Jensen Lpc Pllc | Counselor | 3811 Bee Caves Road, Suite 204, Austin, TX 78746 | 2019-01-29 |
| 1588137897 | Sarah Akunebu | Marriage & Family Therapist | 2525 Wallingwood Dr., Bldg. 1, Suite 211, Austin, TX 78746 | 2019-01-09 |
| 1952886962 | Erika Jane Vivyan | Psychologist | 205 Wild Basin #3 Suite 202, Austin, TX 78746 | 2018-09-26 |
| 1891277190 | Thrive Mind Therapy Pllc | Counselor | 1406 Camp Craft Rd Ste 205, West Lake Hills, TX 78746 | 2018-09-04 |
| Find all providers in zip 78746 | ||||
| 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 |
|---|---|---|---|---|
| 1386973030 | Hill Country Oral Surgery | Dentist | 4201 Bee Caves Rd, Suite A103, West Lake Hills, TX 78746-6465 | 2009-12-09 |
| 1023244340 | Jay Tyler Rasmussen | Dentist | 4201 Bee Caves Rd, Suite A103, West Lake Hills, TX 78746-6465 | 2009-06-01 |
| 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 | WEST LAKE HILLS |
| Zip Code | 78746 |
Please comment or provide details below to improve the information on TEXAS ORAL MAXILLOFACIAL SURGERY ASSOCIATES, PLLC.
| 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.