Individual provider · Type 1 NPI

Michael B. Gissell Jr., DDS MD

Oral and Maxillofacial Surgery (Dentist) · San Antonio, TX

NPI number 1255386140 Active

Practice location

6501 Blanco Rd
San Antonio, TX 78216

Fax (210) 341-2022

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X20087 (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.

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About NPI 1255386140

Michael B. Gissell Jr., DDS MD's National Provider Identifier is 1255386140, issued on May 23, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Antonio, TX. The record was last updated on Jan 26, 2011.