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HELOTES PEDIATRIC DENTISTRY PLLC NPI 1952893463


NPI Information

NPI: 1952893463
Provider Name: HELOTES PEDIATRIC DENTISTRY, PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 45D1015871

Address:
11600 BANDERA RD STE 126
SAN ANTONIO, TX
ZIP 78250
Phone: (210) 256-8581
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HELOTES PEDIATRIC DENTISTRY, PLLC is an oral and maxillofacial surgery dentist in San Antonio, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. HELOTES PEDIATRIC DENTISTRY, PLLC NPI is 1952893463. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11600 BANDERA RD STE 126
SAN ANTONIO, TX
ZIP 78250-806
Phone: (210) 256-8581

The provider's authorized official is Joanna Ayala .
The authorized official title is Owner and has the following contact phone number (210) 632-4560.

The CLIA number assigned to this NPI record is 45D1015871 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/31/2018 and was last updated on 7/28/2023.


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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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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