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LEON SPRINGS DENTAL CENTER PA NPI 1437582236


NPI Information

NPI: 1437582236
Provider Name: LEON SPRINGS DENTAL CENTER, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 45D0969079

Address:
25235 W INTERSTATE 10
SUITE 201
SAN ANTONIO, TX
ZIP 78257
Phone: (210) 698-1010
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LEON SPRINGS DENTAL CENTER, 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. LEON SPRINGS DENTAL CENTER, PA NPI is 1437582236. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25235 W INTERSTATE 10
SUITE 201
SAN ANTONIO, TX
ZIP 78257-550
Phone: (210) 698-1010
Fax: (210) 698-1078

The provider's authorized official is Carolyn Bowman Walker .
The authorized official title is Owner and has the following contact phone number (210) 698-1010.

The CLIA number assigned to this NPI record is 45D0969079 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/15/2013 and was last updated on 7/7/2015.


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 Practice20536TEXASYes

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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