BLUEBONNET ORAL SURGERY AND IMPLANTS PLLC NPI 1033550983

NPI Information

BLUEBONNET ORAL SURGERY AND IMPLANTS PLLC is an oral and maxillofacial surgery dentist in San Antonio, TX. The provider is an oral and maxillofacial surgery dentist specialized in 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. BLUEBONNET ORAL SURGERY AND IMPLANTS PLLC NPI is 1033550983. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7300 BLANCO RD
SUITE 100
SAN ANTONIO, TX
ZIP 78216-936
Phone: (210) 344-9898
Fax: (210) 344-9118

The provider's authorized official is Greg Randolph .
The authorized official title is Dentist and has the following contact phone number (210) 344-9898.

The enumeration date for this NPI number is 7/8/2013 and was last updated on 7/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.