KEVIN ISACC SANDEFER DDS NPI 1881670966

NPI Information

NPI: 1881670966
Provider Name: KEVIN ISACC SANDEFER, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
7703 FLOYD CURL DRIVE, MSC 7903
ADVANCED GENERAL DENTISTRY CLINIC, UT HEALTH SCIENCE CE
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 567-3456
Get Directions

Kevin Isacc Sandefer, DDS 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. Kevin Isacc Sandefer, DDS NPI is 1881670966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7703 FLOYD CURL DRIVE, MSC 7903
ADVANCED GENERAL DENTISTRY CLINIC, UT HEALTH SCIENCE CE
SAN ANTONIO, TX
ZIP 78229-900
Phone: (210) 567-3456
Fax: (210) 567-3443

The enumeration date for this NPI number is 12/20/2005 and was last updated on 12/1/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		22261	TEXAS	No
2	1223G0001X	Dentist	General Practice	22261	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	V06434	MEDICARE UPIN	TEXAS
2	8D9385	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

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

NPI Synchronization or Removal

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