ALAMO HEIGHTS PERIODONTICS PC NPI 1407062193

NPI Information

NPI: 1407062193
Provider Name: ALAMO HEIGHTS PERIODONTICS PC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
7231 BROADWAY ST
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 822-7002
Get Directions

ALAMO HEIGHTS PERIODONTICS PC is a periodontics dentist in San Antonio, TX. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. ALAMO HEIGHTS PERIODONTICS PC NPI is 1407062193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7231 BROADWAY ST
SAN ANTONIO, TX
ZIP 78209-701
Phone: (210) 822-7002
Fax: (210) 824-1433

The provider's authorized official is Monica Alana Flynn .
The authorized official title is Director and has the following contact phone number (210) 822-7002.

The enumeration date for this NPI number is 5/16/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	20683	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1360869	OTHER		UNITED CONCORDIA ID

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »