Individual provider · Type 1 NPI
Miro A. Pavelka, DDS, MSD
Oral and Maxillofacial Surgery (Dentist) · Richardson, TX
NPI number
1154447415
Active
Practice location
400 S Cottonwood Dr, Suite B
Richardson, TX 75080-5708
Fax (972) 231-3161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D11521 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.
3 other providers at this address
- J.c. Boley, D.d.s., M.s., Inc.Orthodontics and Dentofacial Orthopedics Dentistry Richardson, TX NPI 1760501944
- Richardson Oral & Maxillofacial Surgery Associates, Inc.Oral and Maxillofacial Surgery (Dentist) Richardson, TX NPI 1760497291
- Robert Jason Pavelka, DDS, MDOral and Maxillofacial Surgery (Dentist) Richardson, TX NPI 1700845930
Other oral and maxillofacial surgery (dentist) providers in Richardson
About NPI 1154447415
Miro A. Pavelka, DDS, MSD's National Provider Identifier is 1154447415, issued on Mar 21, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Richardson, TX. The record was last updated on Jul 9, 2007.