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LAS PALMAS DENTAL PLLC NPI 1316334113


NPI Information

NPI: 1316334113
Provider Name: LAS PALMAS DENTAL, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 45D1046448

Address:
810 S GENERAL MCMULLEN DR
SAN ANTONIO, TX
ZIP 78237
Phone: (940) 808-1970
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LAS PALMAS DENTAL, PLLC 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. LAS PALMAS DENTAL, PLLC NPI is 1316334113. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

810 S GENERAL MCMULLEN DR
SAN ANTONIO, TX
ZIP 78237-111
Phone: (940) 808-1970
Fax: (855) 731-5147

The provider's authorized official is Charles B Mckenzie .
The authorized official title is Owner and has the following contact phone number (940) 808-1970.

The CLIA number assigned to this NPI record is 45D1046448 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2015 and was last updated on 7/18/2016.


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 Practice27638TEXASYes

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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