SAN ANTONIO DENTAL CENTER (NPI# 1184991184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184991184 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO DENTAL CENTER |
| Practice Address |
8610 Napa Lndg Boerne TX 78015 |
| Mailing Address |
8610 Napa Lndg Boerne TX 78015-4853 |
| Practice Telephone | 2107889044 |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2011-11-19 |
| Authorized Official Name | MR. FRANK ARYAN (PRESIDENT) |
| Authorized Official Telephone | 2107889044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24192 | TX | Dental Providers |
| Street Address |
8610 NAPA LNDG |
| City | BOERNE |
| State | TX |
| Zip Code | 78015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356845242 | Samantha Royalty | Student in an Organized Health Care Education/Training Program | 31925 Deer Smt, Fair Oaks Ranch, TX 78015 | 2018-03-23 |
| 1124455985 | Charles Kennedy Jr. | Specialist | 8454 Northview Pass, Fair Oak Ranch, TX 78015 | 2013-10-10 |
| 1831448448 | Pamela Kelly Brennan | Registered Nurse | 208 Cibolo Ridge Trail, Boerne, TX 78015 | 2012-08-29 |
| 1508112558 | Tammy Marek Pllc | Counselor | 31525 Post Oak Trl, Fair Oaks Ranch, TX 78015 | 2012-07-27 |
| 1295001360 | Shanna Marie Miller | Speech-Language Pathologist | 8614 Carmel Rose, Boerne, TX 78015 | 2012-03-22 |
| 1386941227 | Priscilla Diane Diazdeleon | Speech-Language Pathologist | 8701 Cavalry, Fair Oaks Ranch, TX 78015 | 2011-02-11 |
| 1649586678 | Erica Janae Lunsford | Physician Assistant | 29602 Midnight Sun, Fair Oaks Ranch, TX 78015 | 2010-08-27 |
| 1053555953 | Ramon Cancino | Family Medicine | 25723 Old Fredericksburg, Boerne, TX 78015 | 2009-04-23 |
| 1194901744 | Fair Oaks Dental, Pa | Dentist | 9091 Fair Oaks Pkwy, Suite 304, Fair Oaks Ranch, TX 78015 | 2008-01-14 |
| 1790993210 | Ladelle Morse | Physical Medicine & Rehabilitation | 25723 Old Fredericksburg Rd, Boerne, TX 78015 | 2007-05-18 |
| Find all providers in zip 78015 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678620 | Boerne Family Dental Pllc | Dentist | 1112 S Main St Ste A, Boerne, TX 78006-2812 | 2020-08-04 |
| 1346884236 | Katelyn Adele Solarczyk | Dentist | 101 Northview Dr, Boerne, TX 78006-8991 | 2019-11-04 |
| 1093003964 | Brandon Michael Gardner | Dentist | 134 Menger Springs Ste 1270, Boerne, TX 78006 | 2011-07-13 |
| 1598812646 | Julie Kristine Waltrip | Dentist | 230 W Bandera Rd, Boerne, TX 78006-2805 | 2007-01-04 |
| 1982794467 | George E Metz IIi | Dentist | 25 Fm 3351 S, Boerne, TX 78006-5710 | 2006-10-13 |
| 1629160718 | George W Smith IIi | Dentist | 602 S. Main, Boerne, TX 78006 | 2006-09-28 |
| 1902816754 | John E. Pitts | Dentist | 1361 S Main St, #201, Boerne, TX 78006-2837 | 2006-08-08 |
| 1184695603 | Aaron Harrison Wilson Jr. | Dentist | 144 Lake View Dr, Boerne, TX 78006-5614 | 2006-02-01 |
| 1801899323 | Brent A. Hallum | Dentist | 804 N Main St, Boerne, TX 78006-1626 | 2005-05-30 |
| 1053899435 | West Bandera Dental, Pllc | Dentist | 430 W Bandera Rd, Boerne, TX 78006-2500 | 2018-07-30 |
| Find all providers in BOERNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.