WILDERNSS OAK FAMILY DENTISTRY NPI 1518233733

NPI Information

NPI: 1518233733
Provider Name: WILDERNSS OAK FAMILY DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
20711 WILDERNESS OAK
SUITE #104
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 298-0800
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WILDERNSS OAK FAMILY DENTISTRY is a dental clinic center in San Antonio, TX. WILDERNSS OAK FAMILY DENTISTRY NPI is 1518233733. The provider is registered as an organization entity type.

The provider's business location address is:

20711 WILDERNESS OAK
SUITE #104
SAN ANTONIO, TX
ZIP 78258-640
Phone: (210) 298-0800
Fax: (210) 298-0801

The provider's authorized official is Daniel E Estrella .
The authorized official title is Owner and has the following contact phone number (210) 298-0800.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 4/2/2012.

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	261QD0000X	Clinic/Center	Dental	23980	TEXAS	Yes

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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