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PEDIATRIC DENTISTRY OF SAN ANTONIO NPI 1265514590


NPI Information

NPI: 1265514590
Provider Name: PEDIATRIC DENTISTRY OF SAN ANTONIO
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
6756 POSS RD
SAN ANTONIO, TX
ZIP 78238
Phone: (210) 680-7841
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PEDIATRIC DENTISTRY OF SAN ANTONIO 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. PEDIATRIC DENTISTRY OF SAN ANTONIO NPI is 1265514590. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6756 POSS RD
SAN ANTONIO, TX
ZIP 78238-258
Phone: (210) 680-7841
Fax: (210) 680-3503

The provider's authorized official is William Ben Taylor .
The authorized official title is President and has the following contact phone number (210) 680-7841.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 9/19/2007.


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 Dentistry15372TEXASYes

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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