| Alamo Maxillofacial Surgical Associates, Pa | |
|
4499 Medical Dr Suite #190 San Antonio TX 78229-3735 | |
| (210) 614-3915 | |
| (210) 614-3918 |
| Full Name | Alamo Maxillofacial Surgical Associates, Pa |
|---|---|
| Speciality | Dentist |
| Location | 4499 Medical Dr, San Antonio, Texas |
| Authorized Official Name and Position | Kelly Ann Shy (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2106143915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alamo Maxillofacial Surgical Associates, Pa 4499 Medical Dr Suite #190 San Antonio TX 78229-3735 Ph: (210) 614-3915 | Alamo Maxillofacial Surgical Associates, Pa 4499 Medical Dr Suite #190 San Antonio TX 78229-3735 Ph: (210) 614-3915 |
| NPI Number | 1417006065 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 04/25/2016 |
| Medicare PECOS PAC ID | 4587767710 |
|---|---|
| Medicare Enrollment ID | O20070308000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417006065 | NPI | - | NPPES |
| 0014AW | Other | TX | MEDICARE |
| 079997501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Wendell A Edgin |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1619977493 PECOS PAC ID: 7416051180 Enrollment ID: I20070406000203 |
| Provider Name | Steven B Buckley |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1285602276 PECOS PAC ID: 4183727316 Enrollment ID: I20110301001064 |
| Provider Name | James E Franco |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1063480077 PECOS PAC ID: 5092818229 Enrollment ID: I20110301001075 |
| Provider Name | James W Rominger |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1356319321 PECOS PAC ID: 7810090040 Enrollment ID: I20110301001089 |
| Provider Name | Billy D Tiner |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285601534 PECOS PAC ID: 9638272867 Enrollment ID: I20110301001099 |
| Provider Name | Adam J Verrett |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1871787291 PECOS PAC ID: 1052623931 Enrollment ID: I20161012001470 |
| Provider Name | Andrew E Hanna |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1992024871 PECOS PAC ID: 7719266824 Enrollment ID: I20161114000611 |
J.perry Fikes D.d.s P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Loop 1604 E, Suite 205, San Antonio, TX 78232 Phone: 210-496-3869 | |
Valudental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Marbach Rd, San Antonio, TX 78227 Phone: 904-994-0410 | |
Access Orthodontics Of White, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 South Ww White Road, San Antonio, TX 78220 Phone: 210-337-7600 | |
Chu Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11309 Bandera Rd, Suite 101, San Antonio, TX 78250 Phone: 210-684-8033 Fax: 210-684-8056 | |
Pax Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5311 N Loop 1604 W Ste 123, San Antonio, TX 78249 Phone: 210-276-0600 | |
Ideal Dental Brooks City Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 S. New Braunfels Ave, Ste 105, San Antonio, TX 78235 Phone: 210-800-8410 | |
Atique Orthodontics, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2770 E Evans Rd, Suite 103, San Antonio, TX 78259 Phone: 210-497-5500 |