1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Dentist
  6. NPI Profile

SAN ANTONIO WISDOM TEETH, PLLC
NPI 1568080497
Dentist - Oral and Maxillofacial Surgery in San Antonio, TX

Active since July 07, 2020
13535 HAUSMAN PASS #102-A, SAN ANTONIO, TX 78249(214) 307-4039 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About San Antonio Wisdom Teeth, Pllc NPPES

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

SAN ANTONIO WISDOM TEETH, PLLC (NPI 1568080497), doing business as Wisdom Teeth Guys, is a healthcare organization registered as an oral and maxillofacial surgery in San Antonio, Texas and active in the NPI registry since July 2020. The organization lists Ryan Arnold, Administrator, as its authorized official.

NPPES Registry Identity

NPI1568080497
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSAN ANTONIO WISDOM TEETH, PLLC
Location Address13535 HAUSMAN PASS #102-ASan Antonio, TX 78249
Mailing Address5406 W 11000 N # 226Highland, UT 84003-8942
Phone(214) 307-4039
Organization SubpartNo
Authorized OfficialRyan ArnoldAdministrator · (801) 899-5512
Enumeration DateJuly 7, 2020
NPPES CertifiedJuly 7, 2020
✔ NPI 1568080497 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.

Other Names 1

Doing Business AsWisdom Teeth Guys

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 ›

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 San Antonio Wisdom Teeth, PLLC's NPI number?

The NPI number for San Antonio Wisdom Teeth, PLLC is 1568080497. It was assigned to this organization in the NPPES registry on July 7, 2020. The provider is doing business as Wisdom Teeth Guys.

Where is San Antonio Wisdom Teeth, PLLC located?

San Antonio Wisdom Teeth, PLLC is located at 13535 Hausman Pass #102-A, San Antonio, TX 78249. The listed phone number is (214) 307-4039.

What is San Antonio Wisdom Teeth, PLLC's specialty?

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

What insurance does San Antonio Wisdom Teeth, PLLC 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 San Antonio Wisdom Teeth, PLLC 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 San Antonio Wisdom Teeth, PLLC was last updated on July 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.