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SD-DEZAVALA PC NPI 1093266306


NPI Information

NPI: 1093266306
Provider Name: SD-DEZAVALA PC

Doing Business As: SMILEY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4422 DE ZAVALA RD
SAN ANTONIO, TX
ZIP 78249
Phone: (210) 696-3001
Get Directions

SD-DEZAVALA PC is a general practice dentist in San Antonio, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SD-DEZAVALA PC NPI is 1093266306. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Smiley Dental.

The provider's business location address is:

4422 DE ZAVALA RD
SAN ANTONIO, TX
ZIP 78249-013
Phone: (210) 696-3001
Fax: (210) 764-1989

The provider's authorized official is Lynhthy Thy Pham .
The authorized official title is President and has the following contact phone number (214) 466-1400.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 10/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice19887TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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