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KIDDO DENAL PA NPI 1841580826


NPI Information

NPI: 1841580826
Provider Name: KIDDO DENAL PA

Other Name: CESAR ROTTER DDS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3520 S. NEW BRAUNFELS STE 100
KIDDO DENTAL
SAN ANTONIO, TX
ZIP 78223
Phone: (210) 532-3040
Get Directions

KIDDO DENAL PA 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. KIDDO DENAL PA NPI is 1841580826. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Cesar Rotter Dds.

The provider's business location address is:

3520 S. NEW BRAUNFELS STE 100
KIDDO DENTAL
SAN ANTONIO, TX
ZIP 78223
Phone: (210) 532-3040
Fax: (210) 532-2105

The provider's authorized official is Cesar Rotter .
The authorized official title is Dentist and has the following contact phone number (210) 532-3040.

The enumeration date for this NPI number is 4/12/2011 and was last updated on 4/12/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry23041TEXASYes

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
1182604206MEDICAIDTEXAS

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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