Central Texas Oral Surgery Assc. in Austin - Oral And Maxillofacial Surgery
Central Texas Oral Surgery Assc. - NPI 1114018124
Central Texas Oral Surgery Assc. is a Oral And Maxillofacial Surgery in Austin, Texas. Central Texas Oral Surgery Assc. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Central Texas Oral Surgery Assc. is 1114018124. The last update date is 2020-08-22.
Central Texas Oral Surgery Assc.'s current location address is 3200 Red River, Austin, Texas. You can contact this provider via phone number 5123201640 and fax number 5123201643. The mailing address for Central Texas Oral Surgery Assc. is 3200 Red River, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Texas Oral Surgery Assc. |
|---|---|
| Address | 3200 Red River, Austin, Texas |
| Phone Number | 5123201640 |
| Fax Number | 5123201643 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORAL SURGE |
|---|---|
| Authorized Official Name | Bonasso Samuel Franklin |
| Credentials | DDS |
| Telephone Number | 5123201640 |
NPI Number Detail
| NPI Number | 1114018124 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3200 Red River |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 78705 |
| Phone Number | 5123201640 |
| Fax Number | 5123201643 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 18515 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15705 | TX | ASSURANT | |
| D18515 | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Central Texas Oral Surgery Assc. by the Centers for Medicare & Medicaid Services (CMS)?
The Central Texas Oral Surgery Assc. has been assigned the NPI (National Provider Identifier) 1114018124. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Central Texas Oral Surgery Assc. is geographically located?
The Central Texas Oral Surgery Assc. is physically situated at the following location: 3200 Red River, Austin, TX, 78705.
What is Central Texas Oral Surgery Assc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Central Texas Oral Surgery Assc.'s specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did Central Texas Oral Surgery Assc. receive its 1114018124 assignment from the Centers for Medicare & Medicaid Services?
The Central Texas Oral Surgery Assc. was assigned its 1114018124 on 2006-09-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Central Texas Oral Surgery Assc. most recently updated or revised?
The information pertaining to Central Texas Oral Surgery Assc., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.