Individual provider · Type 1 NPI

Robert Jason Pavelka, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Richardson, TX

NPI number 1700845930 Active

Practice location

400 S Cottonwood Dr, Suite B
Richardson, TX 75080-5708

Fax (972) 231-3161

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X19346 (TX)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XL8883 (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 1700845930

Robert Jason Pavelka, DDS, MD's National Provider Identifier is 1700845930, issued on Mar 17, 2006. 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 13, 2007.