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REDDY DENTAL BANDERA DDS PA NPI 1568659217


NPI Information

NPI: 1568659217
Provider Name: REDDY DENTAL BANDERA, DDS PA

Doing Business As: THE TOOTH DOCTOR

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2278 BANDERA RD STE A
SAN ANTONIO, TX
ZIP 78228
Phone: (210) 434-3731
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REDDY DENTAL BANDERA, DDS PA is a dental clinic center in San Antonio, TX. REDDY DENTAL BANDERA, DDS PA NPI is 1568659217. The provider is registered as an organization entity type.
The provider Is Doing Business As The Tooth Doctor.

The provider's business location address is:

2278 BANDERA RD STE A
SAN ANTONIO, TX
ZIP 78228-162
Phone: (210) 434-3731
Fax: (210) 431-5474

The provider's authorized official is Nukala H Reddy .
The authorized official title is Owner/ Dentist and has the following contact phone number (210) 493-5555.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 9/26/2007.


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
1261QD0000XClinic/CenterDental22740TEXASYes

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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