Texas Oral & Maxillofacial Surgery Associates, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22583 Issued in TX

Legal business name

TEXAS ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLLC

Practice address

4400-1 E Central Texas Expy
Killeen, TX 76543-7313

Phone

(225) 469-9355

Fax

(254) 699-3894

NPI assigned

May 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Malcom Scott, DDS

Title

President

Phone

(512) 371-1222

Specialties & licenses 1

Addresses

Tax ID family

Texas Oral Maxillofacial Surgery Associates PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Texas Oral Maxillofacial Surgery Associates, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • West Lake Hills, TX
  • NPI 1821219866
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonard J Kinateder, DDS

  • Dentist
  • Killeen, TX
  • NPI 1427164037
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821219767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 CAMERON RD",
            "address_2": "SUITE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787522057",
            "telephone_number": "512-371-1222",
            "fax_number": "512-371-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400-1 E CENTRAL TEXAS EXPY",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437313",
            "telephone_number": "225-469-9355",
            "fax_number": "254-699-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MALCOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-371-1222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "22583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Killeen, TX
• Providers in Killeen, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.