institution
Oral And Maxillofacial Surgery Of South Texas, P.a.
Oral and Maxillofacial Surgery (Dentist) in Edinburg, Texas
NPI 1043544893

Oral And Maxillofacial Surgery Of South Texas, P.a. is a Oral and Maxillofacial Surgery (Dentist) based in Edinburg, TX and is specialized in Oral and Maxillofacial Surgery. Oral And Maxillofacial Surgery Of South Texas, P.a. practices in Edinburg, TX. The NPI Number for Oral And Maxillofacial Surgery Of South Texas, P.a. is 1043544893 and holds a License No. 20137 (Texas).

The current practice location address for Oral And Maxillofacial Surgery Of South Texas, P.a. is 4728 South Jackson Rd, Edinburg, TX and can be reached out via phone at 956-878-1222 and via fax at 956-878-1228. You can also correspond with Oral And Maxillofacial Surgery Of South Texas, P.a. through the mailing address at 4728 S. JACKSON ROAD, EDINBURG, TX - 78539-6199 (mailing address contact number: 956-878-1222).

Location: 4728 South Jackson Rd, Edinburg, TX, 78539-6199
institution
Provider Profile Details
NPI Number
1043544893
Provider Name
Oral And Maxillofacial Surgery Of South Texas, P.a.
Credential
Provider Entity Type
Organization
Address
4728 South Jackson Rd, Edinburg, TX, 78539-6199
Phone Number
956-878-1222
Fax Number
956-878-1228
Provider Enumeration Date
09/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
210859903 01 TX TRADITIONAL MEDICAID
210859901 01 TX THSTEPS DENTAL MEDICAID
210859905 01 TX CSHCN MEDICAL MEDICAID
210859902 01 TX CSHCN DENTAL MEDICAID
210859904 01 TX THSTEPS MEDICAL MEDICAID
institution
Provider Business Practice Location Address Details
Address
4728 South Jackson Rd
City
State
Zip
78539
Phone Number
956-878-1222
Fax Number
956-878-1228
person
Provider Business Mailing Address Details
Address
4728 S. Jackson Road
City
State
Zip
78539-6199
Phone Number
956-878-1222
Fax Number
956-878-1228
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
20137 (Texas)
Definition
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.
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