| Austin Oral & Maxillofacial Surgery Associates | |
|
711 W 38th St Suite A-1 Austin TX 78705-1121 | |
| (512) 454-1220 | |
| (512) 467-0363 |
| Full Name | Austin Oral & Maxillofacial Surgery Associates |
|---|---|
| Speciality | Dentist |
| Location | 711 W 38th St, Austin, Texas |
| Authorized Official Name and Position | Janice Marie Ashton (MANAGED CARE COORDINATOR) |
| Authorized Official Contact | 5124541220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Oral & Maxillofacial Surgery Associates 711 W 38th St Suite A-1 Austin TX 78705-1121 Ph: (512) 454-1220 | Austin Oral & Maxillofacial Surgery Associates 711 W 38th St Suite A-1 Austin TX 78705-1121 Ph: (512) 454-1220 |
| NPI Number | 1508875147 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 01/14/2010 |
| Medicare PECOS PAC ID | 3971505645 |
|---|---|
| Medicare Enrollment ID | O20070208000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508875147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Texas) | Primary |
| Provider Name | Tyler C Wildey |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1629320353 PECOS PAC ID: 4587941893 Enrollment ID: I20170515000415 |
| Provider Name | Daniel Szalay |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558776989 PECOS PAC ID: 4082964952 Enrollment ID: I20180914000325 |
| Provider Name | Ryan Weber |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1720473515 PECOS PAC ID: 3971904970 Enrollment ID: I20210629000488 |
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