DOMINION PEDIATRIC DENTISTRY PLLC NPI 1841568813

NPI Information

DOMINION PEDIATRIC DENTISTRY 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. DOMINION PEDIATRIC DENTISTRY PLLC NPI is 1841568813. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dominion Pediatric Dentistry.

The provider's business location address is:

24165 IH 10 W
SUITE #121
SAN ANTONIO, TX
ZIP 78257-159
Phone: (210) 698-6143

The provider's authorized official is Jamie Preece .
The authorized official title is Office Manager and has the following contact phone number (210) 491-4141.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 12/6/2011.

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:

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