ALAMO MAXILLOFACIAL SURGICAL ASSOCIATES, PA
NPI 1417006065
Dentist - Oral and Maxillofacial Surgery in San Antonio, TX

Q: What is Alamo Maxillofacial Surgical Associates, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since January 10, 2007

4499 MEDICAL DR, SUITE #190, SAN ANTONIO, TX 78229(210) 614-3915(210) 614-3918 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Alamo Maxillofacial Surgical Associates, Pa NPPES

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

ALAMO MAXILLOFACIAL SURGICAL ASSOCIATES, PA (NPI 1417006065) is a healthcare organization registered as an oral and maxillofacial surgery in San Antonio, Texas and active in the NPI registry since January 2007. The organization lists Kelly Ann Shy, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1417006065

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameALAMO MAXILLOFACIAL SURGICAL ASSOCIATES, PA

Location Address4499 MEDICAL DR, SUITE #190San Antonio, TX 78229-3735

Mailing Address4499 Medical Dr, Suite #190San Antonio, TX 78229-3735 · (210) 614-3915 · Fax (210) 614-3918

Phone(210) 614-3915

Fax(210) 614-3918

Organization SubpartNo

Authorized OfficialKelly Ann ShyPractice Administrator · (210) 614-3915

Enumeration DateJanuary 10, 2007

Last NPPES UpdateApril 25, 2016

✔ NPI 1417006065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4499 MEDICAL DR, San Antonio, TX 78229

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Other Identifiers 2

Other0014AWTX · Medicare

Medicaid079997501TX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. ROBERT P THOMAS M.D.

Surgery (Pediatric Surgery)

4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229

Bexar County (210) 615-8757

CHARLES T GAY M.D.

Pediatrics

4499 MEDICAL DR, STE 396
SAN ANTONIO, TX 78229

Bexar County (210) 614-3737

KRISTIE YOUNG BORGMAN MD

Pediatrics (Pediatric Cardiology)

4499 MEDICAL DR, #289
SAN ANTONIO, TX 78229

Bexar County (210) 614-3264

DR. FRANK M ROBERTSON M.D.

Surgery (Pediatric Surgery)

4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229

Bexar County (210) 615-8757

DR. JAMES EDWARD FRANCO DDS, MD

Dentist (Oral and Maxillofacial Surgery)

4499 MEDICAL DR, SUITE 190
SAN ANTONIO, TX 78229

Bexar County (210) 614-3915

CECILIA ALEJANDRA GARCIA DE MITCHELL MD

Plastic Surgery

4499 MEDICAL DR, SUITE 347
SAN ANTONIO, TX 78229

Bexar County (210) 615-0068

DR. VINCENT AUGUST CALDAROLA M.D.

Specialist

4499 MEDICAL DR, SUITE 250
SAN ANTONIO, TX 78229

Bexar County (210) 614-3565

CHILDREN'S HEMATOLOGY & ONCOLOGY CENTER

Pediatrics (Pediatric Hematology-Oncology)

4499 MEDICAL DR, SUITE 260
SAN ANTONIO, TX 78229

Bexar County (210) 616-0800

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 Alamo Maxillofacial Surgical Associates, PA's NPI number?

The NPI number for Alamo Maxillofacial Surgical Associates, PA is 1417006065. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Alamo Maxillofacial Surgical Associates, PA located?

Alamo Maxillofacial Surgical Associates, PA is located at 4499 Medical Dr Suite #190, San Antonio, TX 78229. The listed phone number is (210) 614-3915.

What is Alamo Maxillofacial Surgical Associates, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Alamo Maxillofacial Surgical Associates, PA accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Alamo Maxillofacial Surgical Associates, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alamo Maxillofacial Surgical Associates, PA was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.