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RECONSTRUCTIVE ORAL AND MAXILLOFACIAL SURGERY PA NPI 1629067657


NPI Information

NPI: 1629067657
Provider Name: RECONSTRUCTIVE ORAL AND MAXILLOFACIAL SURGERY PA
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2601 W TRENTON RD
EDINBURG, TX
ZIP 78539
Phone: (956) 664-1695
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RECONSTRUCTIVE ORAL AND MAXILLOFACIAL SURGERY PA is an oral and maxillofacial surgery dentist in Edinburg, 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. RECONSTRUCTIVE ORAL AND MAXILLOFACIAL SURGERY PA NPI is 1629067657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2601 W TRENTON RD
EDINBURG, TX
ZIP 78539-432
Phone: (956) 664-1695
Fax: (956) 664-1798

The provider's authorized official is Francisco M Perez .
The authorized official title is Doctor Co Owner and has the following contact phone number (956) 664-1695.

The enumeration date for this NPI number is 10/21/2005 and was last updated on 8/21/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100687TMEDICARE PINTEXAS
2164024501MEDICAIDTEXAS
3164024502MEDICAIDTEXAS

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: 5/5/2024

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