SONTORA MAX PA


Address: 1202 East Sonterra Blvd, Suite 801, San Antonio, TN 78258
Phone: 2104942005

SONTORA MAX PA (NPI# 1972709343) 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) 1972709343
Entity Type Organization
Organization Name SONTORA MAX PA
Other Organization Name SONTERRA ORAL AND MAXILLOFACIAL SURGERY CENTER
Practice Address 1202 East Sonterra Blvd
Suite 801
San Antonio
TN 78258
Practice Telephone 2104942005
Practice Fax Number 2104941332
Mailing Telephone 2104942005
Mailing Fax Number 2104941332
Enumeration Date 2007-06-22
Last Update Date 2020-08-22
Authorized Official Name ROBERT BRYAN ROACH JR. (ORAL SURGEON)
Authorized Official Telephone 2104942005
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
22140 TX Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPI PROVIDER 1972562312 01
NPI PROVIDER 1134188576 01

Other Provider/Organization Names

Other Name Type Code
Sonterra Oral and Maxillofacial Surgery Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013113562 Sontora Max Pa Dentist 1202 East Sonterra Blvd, Suite 801, San Antonio, TN 78258 2007-06-22

Office Location

Street Address 1202 EAST SONTERRA BLVD
SUITE 801
City SAN ANTONIO
State TN
Zip Code 78258

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134188576 David Ventura Malave Dentist 1202 East Sonterra Blvd, Suite 801, San Antonio, TX 78258 2006-03-23
1013113562 Sontora Max Pa Dentist 1202 East Sonterra Blvd, Suite 801, San Antonio, TN 78258 2007-06-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356980163 Jeffrey M. Martinez, M.d., P.a. Surgery 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 2019-12-26
1588226211 New Life Brace and Limb, LLC Prosthetist 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 2019-07-02
1720649080 Miguel Ibarra Pharmacist 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 2019-06-26
1528538113 Kevin Scott Farnsworth Dentist 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 2018-11-27
1891262176 Dentists of Stone Oak, PC Dentist 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 2018-10-25
1003399437 Jesus Alcala Physical Therapist 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 2018-09-11
1184106544 Marissa Kaye Bruton Occupational Therapist 505 Madison Oak, San Antonio, TX 78258 2018-09-02
1508346933 Desiree Carroll Occupational Therapy Assistant 18803 Hardy Oak Drive, San Antonio, TX 78258 2018-08-15
1700376456 Conner Jay Mcnabb Optometrist 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 2018-05-17
1982191516 Freehand Solutions LLC Chiropractor Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 2018-04-19
Find all providers in zip 78258

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 78258

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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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