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CAM JANSE D.D.S. P.C NPI 1164430401


NPI Information

NPI: 1164430401
Provider Name: CAM JANSE D.D.S. P.C
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9820 BRAUN RD
SUITE #102
SAN ANTONIO, TX
ZIP 78254
Phone: (210) 523-2400
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CAM JANSE D.D.S. P.C 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. CAM JANSE D.D.S. P.C NPI is 1164430401. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9820 BRAUN RD
SUITE #102
SAN ANTONIO, TX
ZIP 78254
Phone: (210) 523-2400

The provider's authorized official is Campbell Riddick Janse .
The authorized official title is Owner and has the following contact phone number (210) 523-2400.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 4/15/2009.


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 Practice13898TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1551692OTHERTEXASUNITED CONCORDIA
21D3898OTHERTEXASBLUE CROSS BLUE SHIELD
31208456-04MEDICAIDTEXAS

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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