NORTHEAST CHILDREN'S DENTISTRY INC NPI 1245252238

NPI Information

  • NPI: 1245252238
  • Provider Name: NORTHEAST CHILDREN'S DENTISTRY, INC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 8606 VILLAGE DR
    STE. B
    SAN ANTONIO, TX
    ZIP 78217
  • Phone: (210) 654-6882

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NPI Details

NORTHEAST CHILDREN'S DENTISTRY, INC 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. NORTHEAST CHILDREN'S DENTISTRY, INC NPI is 1245252238. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8606 VILLAGE DR
STE. B
SAN ANTONIO, TX
ZIP 78217-506
Phone: (210) 654-6882
Fax: (210) 654-0036

The provider's authorized official is Tracey Hay .
The authorized official title is Practice Coordinator and has the following contact phone number (210) 654-6882.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/15/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry11694TEXASYes

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
100K78VOTHERTEXASBLUE CROSS BLUE SHIELD

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: 3/30/2025

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