| M M Orthodontics Pa | |
|
4422 De Zavala Rd San Antonio TX 78249-2013 | |
| (210) 696-3001 | |
| (210) 764-1989 |
| Full Name | M M Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4422 De Zavala Rd, San Antonio, Texas |
| Authorized Official Name and Position | Diana T Malone (ORTHODONTIST) |
| Authorized Official Contact | 2106963001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M M Orthodontics Pa 4422 De Zavala Rd San Antonio TX 78249-2013 Ph: (210) 696-3001 | M M Orthodontics Pa 4422 De Zavala Rd San Antonio TX 78249-2013 Ph: (210) 696-3001 |
| NPI Number | 1255348926 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 05/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255348926 | NPI | - | NPPES |
| 1312131 | Other | TX | UNITED CONCORDIA DENTAL |
| 174951703 | Medicaid | TX | |
| 142539903 | Medicaid | TX | |
| 174952503 | Medicaid | TX | |
| 0014940 | Other | TX | FACILITY NUMBER |
| 142539908 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 21086 (Texas) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20402 (Texas) | Primary |
J.perry Fikes D.d.s P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Loop 1604 E, Suite 205, San Antonio, TX 78232 Phone: 210-496-3869 | |
Valudental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Marbach Rd, San Antonio, TX 78227 Phone: 904-994-0410 | |
Access Orthodontics Of White, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 South Ww White Road, San Antonio, TX 78220 Phone: 210-337-7600 | |
Henry H. Chu, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11309 Bandera Rd, Suite 101, San Antonio, TX 78250 Phone: 210-684-8033 Fax: 210-684-8056 | |
Pax Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5311 N Loop 1604 W Ste 123, San Antonio, TX 78249 Phone: 210-276-0600 | |
Ideal Dental Brooks City Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 S. New Braunfels Ave, Ste 105, San Antonio, TX 78235 Phone: 210-800-8410 | |
Atique Orthodontics, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2770 E Evans Rd, Suite 103, San Antonio, TX 78259 Phone: 210-497-5500 |