OrganizationActive
Bluebonnet Oral Surgery and Implants PLLC
NPI 1033550983 · Oral and Maxillofacial Surgery (Dentist) · San Antonio, TX
Provider details
- NPI number
- 1033550983
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Greg Randolph, Dentist(210) 344-9898
- License
- 12316 (TX)
Specialties & taxonomies
Dental Providers
Practice location
7300 Blanco Rd
Suite 100
San Antonio, TX 78216-4936
Phone: (210) 344-9898
Fax: (210) 344-9118
Approximate (ZIP-level) locationGet directions
Mailing address
7300 Blanco Rd
San Antonio, TX 78216-4936
Registry dates
- Enumerated
- 2013-07-08
- Last updated
- 2013-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.