KIDDO DENTAL PA NPI 1508156589

NPI Information

  • NPI: 1508156589
  • Provider Name: KIDDO DENTAL PA
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Other Name: CESAR ROTTER DDS
  • Address: 20306 ENCINO LEDGE STE 106
    KIDDO DENTAL
    SAN ANTONIO, TX
    ZIP 78259
  • Phone: (210) 495-6800

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NPI Details

KIDDO DENTAL 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 DENTAL PA NPI is 1508156589. 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:

20306 ENCINO LEDGE STE 106
KIDDO DENTAL
SAN ANTONIO, TX
ZIP 78259
Phone: (210) 495-6800
Fax: (210) 495-6801

The provider's authorized official is Cesar Rotter .
The authorized official title is Dentist and has the following contact phone number (210) 459-6800.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1182604207MEDICAIDTEXAS

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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