SAN ANTONIO ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A. (NPI# 1992243976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992243976 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A. |
| Practice Address |
4025 E Southcross Blvd Building 1, Suite #5 San Antonio TX 78222-3641 |
| Mailing Address |
5282 Medical Dr Suite # 316 San Antonio TX 78229-6044 |
| Practice Telephone | 2103378600 |
| Practice Fax Number | 2103378606 |
| Mailing Telephone | 2106967500 |
| Mailing Fax Number | 2106920248 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | DR. JAMES B. MAZOCK (OWNER) |
| Authorized Official Telephone | 2106967500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
19367 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700017688 | San Antonio Oral & Maxillofacial Surgery Associates, P.a. | Dentist | 1014 Paris St Ste C, Castroville, TX 78009-2956 | 2009-07-27 |
| Street Address |
4025 E SOUTHCROSS BLVD BUILDING 1, SUITE #5 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78222-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552693 | Patrick S. O'connor M.d.p.a. | Ophthalmology | 4025 E Southcross Blvd, Suite 12, San Antonio, TX 78222-3641 | 2005-07-19 |
| 1811286875 | Whole Woman's Surgical Center LLC | Clinic/Center | 4025 E Southcross Blvd, San Antonio, TX 78222-3641 | 2011-03-30 |
| 1134434780 | Whole Woman's Health of San Antonio, LLC | Clinic/Center | 4025 E Southcross Blvd, Building 3, San Antonio, TX 78222-3641 | 2010-08-06 |
| 1548361595 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 4025 E Southcross Blvd, Suite 4, San Antonio, TX 78222-3641 | 2006-09-25 |
| 1790893204 | Cancer Care Network of South Texas Pa | Internal Medicine | 4025 E Southcross Blvd, Building#5, Suite#30, San Antonio, TX 78222-3641 | 2006-08-25 |
| 1962517805 | St. John Partnership, Ltd. | Clinic/Center | 4025 E Southcross Blvd, Building 3, San Antonio, TX 78222-3641 | 2006-08-20 |
| 1295745289 | Michael P Zeitlin | Family Medicine | 4025 E Southcross Blvd, San Antonio, TX 78222-3641 | 2006-08-09 |
| 1770592693 | David R Mireles | Dentist | 4025 E Southcross Blvd, Suite 1, San Antonio, TX 78222-3641 | 2006-08-07 |
| 1215955869 | Roxanne E Woods | Emergency Medicine | 4025 E Southcross Blvd, Bldg 2, Ste 7, San Antonio, TX 78222-3641 | 2006-07-18 |
| 1881640779 | Seth L Witcher | Dentist | 4025 E Southcross Blvd, Bldg 1, Suite 5, San Antonio, TX 78222-3641 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1801045257 | Perly Lee Sheffield | Case Manager/Care Coordinator | 5518 Elk Hunter Tr., San Antonio, TX 78222 | 2008-09-10 |
| 1689822447 | James Edward Williams | Family Medicine | 3859 E Southcross Blvd Ste C, San Antonio, TX 78222 | 2008-09-05 |
| 1508025693 | Southcross Surgical Center, LLC | Clinic/Center | 4025 E. Southcross, Bldg 3 Ste. 15, San Antonio, TX 78222 | 2008-06-04 |
| 1184839235 | Michael C Key | Dentist | 3875 E Southcross, Ste F, San Antonio, TX 78222 | 2007-05-11 |
| 1245359017 | Celia S Faz | Home Health Aide | 5511 Firestar Trail, San Antonio, TX 78222 | 2007-03-29 |
| 1730272501 | Best Fit Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 3859 E Southcross, Ste H, San Antonio, TX 78222 | 2006-10-02 |
| 1326150806 | Angela E Adams | Nurse Practitioner | 4243 E Southcross Blvd Ste 204, San Antonio, TX 78222 | 2006-08-31 |
| 1063435105 | Mark David Mutschink | Physical Therapist | 3875 E Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-07-26 |
| 1548210636 | Cameron Brent Elam | Physical Therapist | 3875 East Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-05-11 |
| Find all providers in zip 78222 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | SAN ANTONIO |
| Zip Code | 78222 |
Please comment or provide details below to improve the information on SAN ANTONIO ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A..
| 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.