MEDICARE: MAX TEJA DDA PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	16797	TX

General Provider Information

NPI Number	:	1699016691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAX TEJA DDA PA

Provider Business Mailing Address
First Line	:	4331 COLLEGE HILLS BLVD
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76904-6919
Country	:	US
Telephone Number	:	325-223-2373
Fax Number	:

Provider Business Practice Location Address
First Line	:	4331 COLLEGE HILLS BLVD
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76904-6919
Country	:	US
Telephone Number	:	325-223-2373
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MEHBOOB TEJA
Credential	:	DDS
Telephone Number	:	325-223-2373

Provider Enumeration Date	:	03/15/2013
Last Update Date	:	11/15/2015

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1467444034 — DR. DAVID CHRISTOPHER HENSON D.D.S.
Practice Location Address:

4333 COLLEGE HILLS BLVD
SAN ANGELO, TX
76904-6919

Practice Phone: 325-944-2569
Practice Fax:

1679681092 — DR. TIPTON B LEE DDS
Practice Location Address:

4335 COLLEGE HILLS BLVD
SAN ANGELO, TX
76904-6919

Practice Phone: 325-944-2519
Practice Fax:

1194938100 — DR. TIMOTHY JASON WALL D.D.S.
Practice Location Address:

4335 COLLEGE HILLS BLVD
SAN ANGELO, TX
76904-6919

Practice Phone: 214-226-3599
Practice Fax:

1235342965 — MEHBOOB TEJA DDS
Practice Location Address:

4331 COLLEGE HILLS BLVD
SAN ANGELO, TX
76904-6919

Practice Phone: 325-223-2373
Practice Fax:

1871023705 — ALEXIS DIANE VILLARREAL HIS
Practice Location Address:

4335 COLLEGE HILLS BLVD
SAN ANGELO, TX
76904-6919

Practice Phone: 325-949-8351
Practice Fax: 325-944-2958

Directions to “MAX TEJA DDA PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.