Sontora Max Pa in San Antonio - Oral And Maxillofacial Surgery
Sontora Max Pa - NPI 1013113562
Sontora Max Pa is a Oral And Maxillofacial Surgery in San Antonio, Tennessee. Sontora Max Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Sontora Max Pa is 1013113562. The last update date is 2020-08-22.
Sontora Max Pa's current location address is 1202 East Sonterra Blvd, San Antonio, Tennessee. You can contact this provider via phone number 2104942005 and fax number 2104941332. The mailing address for Sontora Max Pa is 1202 East Sonterra Blvd, San Antonio, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sontora Max Pa |
|---|---|
| Address | 1202 East Sonterra Blvd, San Antonio, Tennessee |
| Phone Number | 2104942005 |
| Fax Number | 2104941332 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORAL SURGE |
|---|---|
| Authorized Official Name | Roach Bryan Robert |
| Credentials | DDS |
| Telephone Number | 2104942005 |
NPI Number Detail
| NPI Number | 1013113562 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1202 East Sonterra Blvd |
|---|---|
| City | San Antonio |
| State | Tennessee (TN) |
| Post Code | 78258 |
| Phone Number | 2104942005 |
| Fax Number | 2104941332 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1972562312 | NPI PROVIDER | ||
| 1134188576 | NPI PROVIDER |
Post Comment/ Review Below
What is the Sontora Max Pa's 1013113562?
The Sontora Max Pa's NPI (National Provider Identifier) Number is 1013113562. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Sontora Max Pa is physically located?
The Sontora Max Pa is situated at the following address: 1202 East Sonterra Blvd, San Antonio, TN 78258.
What is Sontora Max Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sontora Max Pa is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
When did the Sontora Max Pa receive its 1013113562?
The Sontora Max Pa was issued its 1013113562 on 2007-06-22, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Sontora Max Pa most recently updated or revised?
The details related to Sontora Max Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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