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ALAMO KIDS DENTAL PLLC NPI 1982104139


NPI Information

NPI: 1982104139
Provider Name: ALAMO KIDS DENTAL PLLC

Doing Business As: ALAMO KIDS DENTAL

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
6820 ALAMO PKWY STE 110
SAN ANTONIO, TX
ZIP 78253
Phone: (210) 951-0046
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ALAMO KIDS DENTAL PLLC 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. ALAMO KIDS DENTAL PLLC NPI is 1982104139. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alamo Kids Dental.

The provider's business location address is:

6820 ALAMO PKWY STE 110
SAN ANTONIO, TX
ZIP 78253-595
Phone: (210) 951-0046
Fax: (210) 688-4418

The provider's authorized official is Peter Gurr .
The authorized official title is Member/owner and has the following contact phone number (210) 951-0046.

The enumeration date for this NPI number is 2/14/2018 and was last updated on 2/14/2018.


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
11223P0221XDentistPediatric DentistryTEXASYes

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
11558520262MEDICAIDTEXAS

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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