P Praxis·MD
● Active Type 2 · Organization

Bluebonnet Oral Surgery And Implants Pllc

Dentist·San Antonio, TX· NPI 1033550983 · Enumerated 2013 · 12 years on NPI
Bluebonnet Oral Surgery And Implants Pllc is 1 of 935 dentist organizations in Texas.
NPI age
12 years
Enumerated 2013-07-08
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Randolph
Dentist
Last NPPES update
2013-07-08
Source: monthly bulk 2026-05

How this organization compares

Across 935 active dentist providers in Texas.

NPI age
12 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
7300 Blanco Rd, Suite 100
San Antonio, TX 782164936
📞 2103449898fax 2103449118
Mailing address
7300 Blanco Rd, Suite 100
San Antonio, TX 782164936
📞 2103449898fax 2103449118

Authorized official

Greg Randolph, DDS
Dentist
📞 2103449898

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    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.
    TX license #12316 taxonomy 1223S0112X

Identifiers

TypeValueNotes
01 (TX) 12316 DENTAL LICENSE NUMBER
01 (TX) 14522 DENTAL LICENSE NUMBER

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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