Houston Methodist Oral and Maxillofacial Surgeons, PLLC
Organization Active NPI Oral & Maxillofacial Surgery (D.M.D.) · Houston, TX
NPI 1306646286 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1306646286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.) 204E00000X
- Legal business name
- HOUSTON METHODIST ORAL AND MAXILLOFACIAL SURGEONS, PLLC
- Practice address
- 6560 Fannin St Ste 1280
Houston, TX 77030-2753 - Phone
- (713) 441-5577
- NPI assigned
- Mar 18, 2025
- Organization subpart
- No
Authorized official
- Name
- Amy Premetz
- Title
- VP Revenue Cycle Operations
- Phone
- (281) 302-9682
Practitioners 9
-
Brayann Oscar Aleman, DMD, MSD, FAACS
-
Nagi M Demian, D.D.S.
-
Jaime Gateno, D.D.S., M.D.
-
David Michael Alfi, D.D.S., M.D.
-
Michael Fei Huang, M.D.
-
Robert John Busch, DMD MD
-
Kevin Coppelson, D.D.S., M.D.
-
David Andrew Keenan, D.D.S., M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251121002989 | TX | Part B Supplier - Clinic/Group Practice | 3274025739 |
Receives reassigned benefits from 3 practitioners Practice locations: Houston, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) |
204E00000X | Yes |
Addresses
Primary practice location
6560 Fannin St Ste 1280
Houston, TX 77030-2753
Mailing address
6560 Fannin St Ste 1280
Houston, TX 77030-2753
Phone (713) 441-5577
Other providers in Houston, TX
- Houston Medical-Mental Health Clinic, LLC
- Houston Medicine Chest LLC
- Houston Medserv Solutions PA
- Houston Methodist
- Houston Methodist Cardiovascular Anesthesia
- Houston Methodist Research Institute
- Houston Methodist Specialty Physicians
- Houston Methodist Specialty Physicians
- Houston Methodist St. John Hospital
- Houston Methodist Willowbrook Hospital
All providers in Houston, TX · Oral & Maxillofacial Surgery (D.M.D.) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.