ORAL AND MAXILLOFACIAL SURGERY OF SOUTH TEXAS, P.A. (NPI# 1043544893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043544893 |
Entity Type | Organization |
Organization Name | ORAL AND MAXILLOFACIAL SURGERY OF SOUTH TEXAS, P.A. |
Practice Address |
4728 South Jackson Rd Edinburg TX 78539 |
Mailing Address |
4728 S. Jackson Road Edinburg TX 78539-6199 |
Practice Telephone | 9568781222 |
Practice Fax Number | 9568781228 |
Mailing Telephone | 9568781222 |
Mailing Fax Number | 9568781228 |
Enumeration Date | 2009-09-28 |
Last Update Date | 2010-07-26 |
Authorized Official Name | DR. FRANCISCO M PEREZ (OWNER) |
Authorized Official Telephone | 9568781222 |
Authorized Official Credential | DMD, MSD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
20137 | TX | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | THSTEPS MEDICAL MEDICAID | 210859904 | 01 |
TX | CSHCN MEDICAL MEDICAID | 210859905 | 01 |
TX | THSTEPS DENTAL MEDICAID | 210859901 | 01 |
TX | CSHCN DENTAL MEDICAID | 210859902 | 01 |
TX | TRADITIONAL MEDICAID | 210859903 | 01 |
Street Address |
4728 SOUTH JACKSON RD |
City | EDINBURG |
State | TX |
Zip Code | 78539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
Find all providers in zip 78539 |
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 |
---|---|---|---|---|
1851381214 | Francisco M Perez | Dentist | 4728 S Jackson Rd, Edinburg, TX 78539-6199 | 2005-10-26 |
1609865641 | Carlos J Villarreal | Dentist | 2601 W Trenton Rd, Edinburg, TX 78539-3432 | 2005-10-20 |
1639172109 | Carlos Cruz | Dentist | 2405 Cornerstone Blvd, Edinburg, TX 78539 | 2005-05-27 |
1750699682 | Oral and Craniofacial Center | Dentist | 2405 Cornerstone Blvd, Edinburg, TX 78539 | 2010-09-14 |
1629067657 | Reconstructive Oral and Maxillofacial Surgery Pa | Dentist | 2601 W Trenton Rd, Edinburg, TX 78539-3432 | 2005-10-21 |
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 |
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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.