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SC SHINE PLLC NPI 1356527949


NPI Information

NPI: 1356527949
Provider Name: SC SHINE PLLC

Doing Business As: TEXAS DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10103 W LOOP 1604 N
STE 104
SAN ANTONIO, TX
ZIP 78254
Phone: (210) 495-2000
Get Directions

SC SHINE 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. SC SHINE PLLC NPI is 1356527949. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Texas Dental.

The provider's business location address is:

10103 W LOOP 1604 N
STE 104
SAN ANTONIO, TX
ZIP 78254-715
Phone: (210) 495-2000
Fax: (210) 495-2001

The provider's authorized official is Michael Justin Coke .
The authorized official title is Owner and has the following contact phone number (210) 495-2000.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 3/31/2015.


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 Practice21002TEXASYes

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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