TEXAS ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLLC (NPI# 1821219767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821219767 |
| Entity Type | Organization |
| Organization Name | TEXAS ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLLC |
| Practice Address |
4400-1 E Central Texas Expy Killeen TX 76543-7313 |
| Mailing Address |
7517 Cameron Rd Suite 107 Austin TX 78752-2057 |
| Practice Telephone | 2254699355 |
| Practice Fax Number | 2546993894 |
| Mailing Telephone | 5123711222 |
| Mailing Fax Number | 5123713914 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MALCOM SCOTT (PRESIDENT) |
| Authorized Official Telephone | 5123711222 |
| 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 |
22583 | TX | Dental Providers |
| Street Address |
4400-1 E CENTRAL TEXAS EXPY |
| City | KILLEEN |
| State | TX |
| Zip Code | 76543-7313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146415 | 20 20 Icare Pllc | Optometrist | 3213 E Central Expressway Ste 100b, Killeen, TX 76543 | 2019-07-23 |
| 1801377627 | Pankti Shah | Physical Therapist | Rosewood Retirement Community, 5700 E. Central Texas Expy, Killeen, TX 76543 | 2018-08-29 |
| 1134648207 | Metx, LLC | Audiologist-Hearing Aid Fitter | 3210 E Central Texas Expy, Killeen, TX 76543 | 2017-09-11 |
| 1558770628 | Pm Management Killeen I Nc, LLC | Assisted Living Facility | 5701 E. Central Texas Expressway, Killeen, TX 76543 | 2014-08-04 |
| 1649688722 | Rashad Altawaty | Dentist | 2202 South W S Young Drive, Killeen, TX 76543 | 2014-08-01 |
| 1881950004 | Bradley V Culling | Anesthesiology | 3400 E Central Texas Expy Ste 1, Killeen, TX 76543 | 2012-04-02 |
| 1437386364 | Cenikor Foundation | Community/Behavioral Health | 4520 E Central Texas Expressway, #102, Killeen, TX 76543 | 2009-06-18 |
| 1851595060 | Jack Jones Hearing Centers, Inc | Audiologist | 1711 E Central Texas Expressway, Suite 108-3, Killeen, TX 76543 | 2007-06-12 |
| 1871713412 | Olga Rodgers | Speech-Language Pathologist | 2201 South Ws Young, Suite 117 A-1, Killeen, TX 76543 | 2007-04-26 |
| 1336367978 | Advanced Women's Health Center, Pa | Clinic/Center | 2201 South Ws Young Drive, Suite 114b, Killeen, TX 76543 | 2007-04-20 |
| Find all providers in zip 76543 | ||||
| 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 |
|---|---|---|---|---|
| 1689831711 | Andrew John Campbell | Dentist | 2703 E Stan Schlueter Loop, Suite 100, Killeen, TX 76542 | 2008-05-16 |
| 1851582480 | Barbra Gayle Griffin | Dentist | 2408 Clear Creek Road, Suite 201, Killeen, TX 76549-2185 | 2007-08-08 |
| 1922246297 | Andrew J Campbell Dba Killeen Oral and Maxillofacial Surgery | Dentist | 2703 E Stan Schlueter Loop, Ste 100, Killeen, TX 76542 | 2009-01-26 |
| 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.