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CELEBRACES SE MILITARY PLLC NPI 1598310344


NPI Information

NPI: 1598310344
Provider Name: CELEBRACES SE MILITARY PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3611 SE MILITARY DRIVE
SUITE B101
SAN ANTONIO, TX
ZIP 78223
Phone: (210) 404-4504
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CELEBRACES SE MILITARY 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. CELEBRACES SE MILITARY PLLC NPI is 1598310344. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3611 SE MILITARY DRIVE
SUITE B101
SAN ANTONIO, TX
ZIP 78223
Phone: (210) 404-4504

The provider's authorized official is David B Ferguson .
The authorized official title is Dentist/owner and has the following contact phone number (210) 404-4450.

The enumeration date for this NPI number is 8/8/2019 and was last updated on 8/8/2019.


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 DentistryYes

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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