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ADVANCED SMILE CARE FOR KIDS PLLC NPI 1487018271


NPI Information

NPI: 1487018271
Provider Name: ADVANCED SMILE CARE FOR KIDS, PLLC

Doing Business As: SCUBA SMILES FOR KIDS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3829 LOCKHILL SELMA RD
SUITE 101
SAN ANTONIO, TX
ZIP 78230
Phone: (210) 366-3606
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ADVANCED SMILE CARE FOR KIDS, PLLC is a pediatric dentistry dentist in San Antonio, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ADVANCED SMILE CARE FOR KIDS, PLLC NPI is 1487018271. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Scuba Smiles For Kids.

The provider's business location address is:

3829 LOCKHILL SELMA RD
SUITE 101
SAN ANTONIO, TX
ZIP 78230-761
Phone: (210) 366-3606
Fax: (210) 332-9715

The provider's authorized official is Jos Selig .
The authorized official title is Business Manager and has the following contact phone number (210) 366-3606.

The enumeration date for this NPI number is 4/8/2016 and was last updated on 4/8/2016.


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
11223P0221XDentistPediatric DentistryTEXASYes

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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