NPI age
17 years
Enumerated 2008-11-04
● Active Type 2 · Organization
Southwest Oral & Maxillofacial Surgery, P.A.
Southwest Oral & Maxillofacial Surgery, P.A. is 1 of 935 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hill
Business Manager
Last NPPES update
2008-11-04
Source: monthly bulk 2026-05
How this organization compares
Across 935 active dentist providers in Texas.
NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1001 Buckingham Rd, Suite 106
Richardson, TX 750815850
Mailing address
1001 Buckingham Rd, Suite 106
Richardson, TX 750815850
Authorized official
Kelle Rae Hill
Business Manager
📞 9726448500
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Richard Blume, DDS MS Dentist NPI 1578616231
- Kelly Halverson, DDS Dentist NPI 1740501337
- Stephen Hill, DDS Dentist NPI 1588754915
- Kathryn Jodry, D.D.S. Dentist NPI 1700974367
- Rodney Lewis, D.D.S., M.S. Dentist NPI 1174502736
- Hamidreza Mirsepasi, DDS, MS Dentist NPI 1952533226
- Daniel Stewart, D.D.S. Dentist NPI 1932112406
Specialties
-
Dentist PrimaryThe 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 10599 | TEXAS LICENSE NUMBER |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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