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MAXILLOFACIAL SURGERY SERVICES OF CENTRAL TEXAS PLLC NPI 1437431442


NPI Information

NPI: 1437431442
Provider Name: MAXILLOFACIAL SURGERY SERVICES OF CENTRAL TEXAS, PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
10801 N MOPAC EXPY
BLDG 2 SUITE 130
AUSTIN, TX
ZIP 78759
Phone: (512) 372-6230
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MAXILLOFACIAL SURGERY SERVICES OF CENTRAL TEXAS, PLLC is an oral and maxillofacial surgery dentist in Austin, 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. MAXILLOFACIAL SURGERY SERVICES OF CENTRAL TEXAS, PLLC NPI is 1437431442. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10801 N MOPAC EXPY
BLDG 2 SUITE 130
AUSTIN, TX
ZIP 78759-459
Phone: (512) 372-6230
Fax: (512) 372-6233

The provider's authorized official is Juan F Gonzalez .
The authorized official title is Owner / Principal Member and has the following contact phone number (210) 380-5576.

The enumeration date for this NPI number is 9/15/2011 and was last updated on 9/15/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery22953TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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