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

Richardson Oral & Maxillofacial Surgery Associates, Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1760497291

Richardson Oral & Maxillofacial Surgery Associates, Inc is an Oral and Maxillofacial Surgery (Dentist) in Richardson, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 S Cottonwood Dr Ste B
Richardson, TX 75080-5708
Phone: (972) 231-6661
Fax: (972) 231-3161
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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 · Licence 11521 (TX)

Record details

NPI number1760497291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miro Pavelka — Owner/President · (972) 231-6661
NPI enumeratedJuly 31, 2006
Last updated in NPPESSeptember 15, 2008
Mailing address400 S Cottonwood Dr, Suite B, Richardson, TX 75080-5708

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