Sontora Max Pa in San Antonio - Oral And Maxillofacial Surgery
Sontora Max Pa - NPI 1972709343
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 1972709343. 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 | 1972709343 |
|---|---|
| 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 |
| Licence No | 22140 |
|
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 |
|---|---|---|---|
| 1134188576 | NPI PROVIDER | ||
| 1972562312 | NPI PROVIDER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sontora Max Pa by the Centers for Medicare & Medicaid Services?
The Sontora Max Pa has been issued the NPI (National Provider Identifier) 1972709343, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Sontora Max Pa is 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 primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sontora Max Pa is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Sontora Max Pa receive the assignment of its 1972709343 from the Centers for Medicare & Medicaid Services?
The Sontora Max Pa was issued its 1972709343 by the Centers for Medicare & Medicaid Services on 2007-06-22.
When was the Sontora Max Pa's information last updated?
The Sontora Max Pa's information was last updated on 2020-08-22.
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