Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alamo Maxillofacial Surgical Associates, PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1417006065

Alamo Maxillofacial Surgical Associates, PA is an Oral and Maxillofacial Surgery (Dentist) in San Antonio, Texas. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4499 Medical Dr Ste #190
San Antonio, TX 78229-3735
Phone: (210) 614-3915
Fax: (210) 614-3918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1417006065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Shy — Practice Administrator · (210) 614-3915
NPI enumeratedJanuary 10, 2007
Last updated in NPPESApril 25, 2016
Mailing address4499 Medical Dr, Suite #190, San Antonio, TX 78229-3735

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