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WESTSIDE PEDIATRIC DENTAL NPI 1255350435


NPI Information

NPI: 1255350435
Provider Name: WESTSIDE PEDIATRIC DENTAL
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
7322 MILITARY DRIVE WEST
SAN ANTONIO, TX
ZIP 78227
Phone: (210) 673-3792
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WESTSIDE PEDIATRIC DENTAL is a pediatric dentistry dentist in San Antonio, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. WESTSIDE PEDIATRIC DENTAL NPI is 1255350435. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7322 MILITARY DRIVE WEST
SAN ANTONIO, TX
ZIP 78227-924
Phone: (210) 673-3792
Fax: (210) 673-8837

The provider's authorized official is Brett H Mueller .
The authorized official title is President Owner and has the following contact phone number (210) 673-3792.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 8/22/2020.


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
11223P0221XDentistPediatric DentistryYes

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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