MIRO A PAVELKA (DDS, MSD) – Oral and Maxillofacial Surgery (Dentist), NPI 1154447415
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MIRO A PAVELKA (DDS, MSD)
400 S COTTONWOOD DR
SUITE B
RICHARDSON, TX 750805708
Phone: (972) 231-6661
Fax: (972) 231-3161
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-06-25
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75080)
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