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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAINT JOSEPH ORAL & MAXILLOFACIAL
NPI 1104956630
Dentist - Oral and Maxillofacial Pathology in Laredo, TX

Active since March 06, 2007
6419 POLARIS DR STE A-3, LAREDO, TX 78041(956) 795-1010(956) 795-1040 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 25, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Saint Joseph Oral & Maxillofacial NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAINT JOSEPH ORAL & MAXILLOFACIAL (NPI 1104956630) is a healthcare organization registered as an oral and maxillofacial pathology in Laredo, Texas and active in the NPI registry since March 2007. The organization lists Cesar Trevino, Owner, as its authorized official.

NPPES Registry Identity

NPI1104956630
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameSAINT JOSEPH ORAL & MAXILLOFACIAL
Location Address6419 POLARIS DR STE A-3Laredo, TX 78041-2090
Mailing Address6419 Polaris Dr Ste A-3, Suite BLaredo, TX 78041-2090 · (956) 795-1010 · Fax (956) 795-1040
Phone(956) 795-1010
Fax(956) 795-1040
Organization SubpartNo
Authorized OfficialCesar TrevinoOwner · (956) 795-1010
Enumeration DateMarch 6, 2007
Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1104956630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
6419 POLARIS DR STE A-3, Laredo, TX 78041
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Other Identifiers 1

Medicaid155170701TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CESAR TREVINO D.D.S
Dentist (Oral and Maxillofacial Pathology)
6419 POLARIS DR STE A-3
LAREDO, TX 78041
Webb County (956) 795-1010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saint Joseph Oral & Maxillofacial's NPI number?

The NPI number for Saint Joseph Oral & Maxillofacial is 1104956630. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Saint Joseph Oral & Maxillofacial located?

Saint Joseph Oral & Maxillofacial is located at 6419 Polaris Dr Ste A-3, Laredo, TX 78041. The listed phone number is (956) 795-1010.

What is Saint Joseph Oral & Maxillofacial's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Saint Joseph Oral & Maxillofacial was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.