Provider Type Icon

SAN PEDRO DENTAL ASSOCIATES PC NPI 1366643496


NPI Information

NPI: 1366643496
Provider Name: SAN PEDRO DENTAL ASSOCIATES, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
16414 SAN PEDRO AVE
#200
SAN ANTONIO, TX
ZIP 78232
Phone: (210) 499-0009
Get Directions

SAN PEDRO DENTAL ASSOCIATES, PC 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. SAN PEDRO DENTAL ASSOCIATES, PC NPI is 1366643496. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16414 SAN PEDRO AVE
#200
SAN ANTONIO, TX
ZIP 78232-277
Phone: (210) 499-0009
Fax: (210) 499-0002

The provider's authorized official is Edie Dutton .
The authorized official title is Administrative Assistant and has the following contact phone number (830) 981-9193.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 2/26/2009.


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 Practice17072TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.