| San Antonio Oral Surgery, P.a. | |
|
3338 Oakwell Court #204 San Antonio TX 78218 | |
| (210) 656-3301 | |
| (210) 656-3304 |
| Full Name | San Antonio Oral Surgery, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 3338 Oakwell Court, San Antonio, Texas |
| Authorized Official Name and Position | Jeffrey Steven Wert (OFFICER) |
| Authorized Official Contact | 2106563301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Oral Surgery, P.a. 3338 Oakwell Court #204 San Antonio TX 78218 Ph: (210) 656-3301 | San Antonio Oral Surgery, P.a. 3338 Oakwell Court #204 San Antonio TX 78218 Ph: (210) 656-3301 |
| NPI Number | 1093832776 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7618060062 |
|---|---|
| Medicare Enrollment ID | O20070830000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093832776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Jeffrey S Wert |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1376660035 PECOS PAC ID: 3971696329 Enrollment ID: I20070830000818 |
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