Miro A Pavelka in Richardson - Oral And Maxillofacial Surgery
Miro A Pavelka - NPI 1154447415
Miro A Pavelka is a Oral And Maxillofacial Surgery in Richardson, Texas. Miro A Pavelka practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Miro A Pavelka is 1154447415. The last update date is 2007-07-09.
Miro A Pavelka's current location address is 400 S Cottonwood Dr, Richardson, Texas. You can contact this provider via phone number 9722316661 and fax number 9722313161. The mailing address for Miro A Pavelka is 400 S Cottonwood Dr, Richardson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miro A Pavelka |
|---|---|
| Address | 400 S Cottonwood Dr, Richardson, Texas |
| Phone Number | 9722316661 |
| Fax Number | 9722313161 |
| Sole Proprietor | N |
| Credentials | DDS, MSD |
NPI Number Detail
| NPI Number | 1154447415 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 400 S Cottonwood Dr |
|---|---|
| City | Richardson |
| State | Texas (TX) |
| Post Code | 750805708 |
| Phone Number | 9722316661 |
| Fax Number | 9722313161 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D11521 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Miro A Pavelka by the Centers for Medicare & Medicaid Services (CMS)?
The Miro A Pavelka has been assigned the NPI (National Provider Identifier) 1154447415. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Miro A Pavelka?
The Miro A Pavelka is physically situated at 400 S Cottonwood Dr, in the city of Richardson, state of TX, with the postal code 750805708.
What is the Miro A Pavelka's area of specialization and corresponding taxonomy classification?
The Miro A Pavelka's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did Miro A Pavelka receive its 1154447415 assignment from the Centers for Medicare & Medicaid Services?
The Miro A Pavelka was assigned its 1154447415 on 2007-03-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Miro A Pavelka most recently updated?
The details pertaining to the Miro A Pavelka, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.