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VILLA DENTAL PLLC NPI 1699181578


NPI Information

NPI: 1699181578
Provider Name: VILLA DENTAL, PLLC

Doing Business As: VILLA DENTAL

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

Specialization: Dental

Address:
1546 BABCOCK RD
STE 105
SAN ANTONIO, TX
ZIP 78229
Phone: (504) 810-2760
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VILLA DENTAL, PLLC is a dental clinic center in San Antonio, TX. VILLA DENTAL, PLLC NPI is 1699181578. The provider is registered as an organization entity type.
The provider Is Doing Business As Villa Dental.

The provider's business location address is:

1546 BABCOCK RD
STE 105
SAN ANTONIO, TX
ZIP 78229-724
Phone: (504) 810-2760

The provider's authorized official is Emanuel J Staes .
The authorized official title is Owner and has the following contact phone number (504) 810-2760.

The enumeration date for this NPI number is 7/11/2014 and was last updated on 2/4/2015.


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/CenterDental28289TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11336495738MEDICAIDTEXAS

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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