DR. CECIL ROSCO SHREWSBERRY IV (NPI# 1871823963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871823963 |
Entity Type | Individual |
Full Name | DR. CECIL ROSCO SHREWSBERRY IV |
Credential | D.D.S., M.D. |
Practice Address |
3231 Woodward Dr Ste B Huntsville TX 77340-4101 |
Practice Telephone | 9367555750 |
Practice Fax Number | 2105190082 |
Mailing Telephone | 9367555750 |
Mailing Fax Number | 2105190082 |
Enumeration Date | 2010-01-12 |
Last Update Date | 2019-04-30 |
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 |
25178 | TX | Dental Providers |
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5505 | LA | Dental Providers |
Y | 204E00000X | Oral & Maxillofacial Surgery | N8147 | TX | Allopathic & Osteopathic Physicians |
Street Address |
3231 WOODWARD DR STE B |
City | HUNTSVILLE |
State | TX |
Zip Code | 77340-4101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
Find all providers in zip 77340 |
Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528101698 | Leroy A Kamelchuk | Oral & Maxillofacial Surgery | 1107 Gleneagles Dr Sw, Huntsville, AL 35801-6405 | 2007-02-15 |
1437114246 | Philip B Elledge | Oral & Maxillofacial Surgery | 2314 Pansy St Sw, Huntsville, AL 35801-3803 | 2006-04-18 |
1174605992 | North Alabama Oral & Facial Surgery | Oral & Maxillofacial Surgery | 910 Adams St Se, Suite 215, Huntsville, AL 35801-3730 | 2006-10-20 |
1104881721 | Jim B Duke Jr. | Oral & Maxillofacial Surgery | 2314 Pansy St Sw, Huntsville, AL 35801-3803 | 2006-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477101053 | College Station Oral Surgery, Pllc | Oral & Maxillofacial Surgery | 1645 Greens Prairie Rd W Ste 202, College Station, TX 77845-8414 | 2019-08-28 |
1922579473 | Christopher M. King, Dds, Md, Pllc | Oral & Maxillofacial Surgery | 5209 Heritage Ave Ste 220, Colleyville, TX 76034-5997 | 2018-12-10 |
1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
1508375965 | Dioms, Pllc | Oral & Maxillofacial Surgery | 9676 Bartlett Cir Ste 950, Fort Worth, TX 76108-4469 | 2017-09-28 |
1730625740 | Facial Head & Neck Surgery Pllc | Oral & Maxillofacial Surgery | 2317 Coit Rd Ste A, Plano, TX 75075-3774 | 2017-01-13 |
1821405416 | Caprock Oral Surgery, Pllc | Oral & Maxillofacial Surgery | 5730 66th St., Lubbock, TX 79424-1224 | 2014-07-16 |
1487997813 | Amir All-atabakhsh | Oral & Maxillofacial Surgery | 2402 Rice Blvd Ste C, Houston, TX 77005-3203 | 2013-04-04 |
1225398456 | Associates In Oral & Implant Surgery | Oral & Maxillofacial Surgery | 7211 North Mesa Suite 1 South, El Paso, TX 79912 | 2012-05-22 |
1437419652 | Associates In Oral & Implant Surgery | Oral & Maxillofacial Surgery | 7211 North Mesa Suite 1-south, El Paso, TX 79912 | 2012-05-22 |
1689954562 | Roderick Youngdo Kim | Oral & Maxillofacial Surgery | 1500 S Main St Dept Of, Fort Worth, TX 76104-4917 | 2011-08-23 |
Find all providers with the same taxonomy |
City | HUNTSVILLE |
Zip Code | 77340 |
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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.