Robert Jason Pavelka in Richardson - Oral And Maxillofacial Surgery
Robert Jason Pavelka - NPI 1700845930
Robert Jason Pavelka is a Oral And Maxillofacial Surgery in Richardson, Texas. Robert Jason Pavelka practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Robert Jason Pavelka is 1700845930. The last update date is 2007-07-13.
Robert Jason 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 Robert Jason Pavelka is 400 S Cottonwood Dr, Richardson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Jason Pavelka |
|---|---|
| Address | 400 S Cottonwood Dr, Richardson, Texas |
| Phone Number | 9722316661 |
| Fax Number | 9722313161 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1700845930 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2007-07-13 |
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 | 19346 |
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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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What is the unique 10-digit identifier code issued to Robert Jason Pavelka by the Centers for Medicare & Medicaid Services?
The Robert Jason Pavelka has been assigned the NPI (National Provider Identifier) 1700845930 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Robert Jason Pavelka located?
The Robert Jason Pavelka is located at 400 S Cottonwood Dr, Richardson, TX 750805708.
What is Robert Jason Pavelka's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert Jason Pavelka is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700845930 to Robert Jason Pavelka?
The Centers for Medicare & Medicaid Services originally issued the 1700845930 to Robert Jason Pavelka on 2006-03-17.
When was the information regarding Robert Jason Pavelka most recently updated?
The details pertaining to the Robert Jason Pavelka, including its address, specialty, and other relevant information, were last refreshed on 2007-07-13.