XLNT DENTAL PLLC NPI 1346780566

NPI Information

  • NPI: 1346780566
  • Provider Name: XLNT DENTAL PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: GRAVIS & RILEY FAMILY DENTAL CARE
  • Address: 504 E GRAVIS ST
    SAN DIEGO, TX
    ZIP 78384
  • Phone: (201) 970-9158

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NPI Details

XLNT DENTAL PLLC is a general practice dentist in San Diego, 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. XLNT DENTAL PLLC NPI is 1346780566. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gravis & Riley Family Dental Care.

The provider's business location address is:

504 E GRAVIS ST
SAN DIEGO, TX
ZIP 78384-708
Phone: (201) 970-9158

The provider's authorized official is Daniela Marie P Punzalan .
The authorized official title is Owner/ General Dentist and has the following contact phone number (201) 970-9158.

The enumeration date for this NPI number is 3/7/2017 and was last updated on 3/7/2017.

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
11223G0001XDentistGeneral Practice30778TEXASYes

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: 11/21/2025

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