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ANDREW DE LA GARZA JR. DDS PA NPI 1427225812


NPI Information

NPI: 1427225812
Provider Name: ANDREW DE LA GARZA, JR., DDS, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
315 N SAN SABA
SUITE 925
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 227-1991
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ANDREW DE LA GARZA, JR., DDS, PA 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. ANDREW DE LA GARZA, JR., DDS, PA NPI is 1427225812. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

315 N SAN SABA
SUITE 925
SAN ANTONIO, TX
ZIP 78207-154
Phone: (210) 227-1991

The provider's authorized official is Andrew De La Garza .
The authorized official title is President and has the following contact phone number (210) 227-1991.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/14/2008.


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 Practice5943TEXASNo
21223P0221XDentistPediatric Dentistry15348TEXASNo
31223G0001XDentistGeneral Practice11944TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
115348OTHERTEXASDENTAL LICENSE
25943OTHERTEXASDENTAL LICENSE
3G60035-1OTHERTEXASTEXAS CHIP DELTA DENTAL SERVICES
41209736-02MEDICAIDTEXAS
51332751-02MEDICAIDTEXAS
611944OTHERTEXASDENTAL LICENSE

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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