San Antonio Wisdom Teeth, Pllc
Dentist (Oral and Maxillofacial Surgery)

Address: 13535 Hausman Pass #102-a, San Antonio, TX 78249
Phone: 2143074039

San Antonio Wisdom Teeth, Pllc (NPI# 1568080497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1568080497
Entity Type Organization
Organization Name SAN ANTONIO WISDOM TEETH, PLLC
Practice Address 13535 Hausman Pass #102-a
San Antonio
TX 78249
Practice Telephone 2143074039
Mailing Address 5406 W 11000 N # 226
Highland
UT 84003-8942
Authorized Official Name Ryan Arnold (ADMINISTRATOR)
Authorized Official Telephone 8018995512
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-07-07
Last Update Date 2020-07-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1223S0112X Dentist · Oral and Maxillofacial Surgery Dental Providers

Other Provider/Organization Names

Other Name Type Code
Wisdom Teeth Guys Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023596061 Albert L. Ouellette, Dds, Pllc Dentist 1202 E Sonterra Blvd Ste 801, San Antonio, TX 78258-4095 2018-08-01
1154726131 Rafael Antonio Gavilanes Dentist 1005 Ave General Ramey Ste 1, San Antonio, PR 00690 2014-11-03
1952710949 Ryan M Leonhart Dds Md Pllc Dentist 6530 W Loop 1604 N, Suite 101, San Antonio, TX 78254-6319 2014-08-05
1023424090 Jabir Alhumaid Dentist 7703 Floyd Curl Dr # Mc7908, Oral and Maxillofacial Surgery Uthscsa, San Antonio, TX 78229-3901 2014-07-10
1013292614 Glen A Fritz Dentist 16789 N Us Highway 281, Your Ortho Team, PC, San Antonio, TX 78232-2349 2011-10-14
1699065383 Patricia E. Lopez Dentist 7703 Floyd Drive - Dept. Oral & Maxillofacial Surgery, University of Texas Health Science Center At San Antoni, San Antonio, TX 78229-3900 2011-04-14
1962734160 J. Andrew Jackson, D.d.s. Ltd., LLP Dentist 600 Division, Suite E., San Antonio, TX 78214 2010-02-12
1508097817 Daniel Enrique Perez Dentist 8210 Floyd Curl Dr Dept Oral, San Antonio, TX 78229-3923 2009-08-04
1871787291 Adam Joseph Verrett Dentist 4499 Medical Dr Ste 190, San Antonio, TX 78229-3768 2007-08-29
1568672996 Mark E Haverkorn Dentist 5418 N Loop 1604 E, Suite 101, San Antonio, TX 78249-5463 2007-05-23
Find all providers in SAN ANTONIO

Office Location

Street Address 13535 HAUSMAN PASS #102-A
City SAN ANTONIO
State TX
Zip Code 78249

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222663 Zachary Mitchell Kimo Mitsui Specialist/Technologist 7311 Bluestone Rd, San Antonio, TX 78249 2020-10-15
1538770839 Go Operations 3 LLC Skilled Nursing Facility 4366 Lockhill Selma, Shavano, TX 78249 2020-08-11
1417566548 Heenaben Jayantilal Rathod Registered Nurse 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 2020-07-24
1306455530 Z-pediatrics Pllc Pediatrics 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 2020-07-23
1265071203 Caralyne Sandquist Physician Assistant 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 2019-12-21
1104472935 Adam J Gordon Social Worker 6363 Dezavala Rd, San Antonio, TX 78249 2019-08-16
1336700582 Michael Leland Post Specialist/Technologist 5150 Dezavala, San Antonio, TX 78249 2019-06-27
1043788722 Stephen John Reynolds Counselor 5907 Trent Rnch, San Antonio, TX 78249 2018-11-11
1396211504 Christina Michelle Morales Specialist/Technologist 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 2018-10-16
1013491752 May E Orcel Registered Nurse 4601 Dezavala Rd, Apt 611, San Antonio, TX 78249 2018-09-19
Find all providers in zip 78249

Competitor

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City SAN ANTONIO
Zip Code 78249

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.