LITTLE TEETH OF TEXAS DENTISTRY FOR CHILDREN PA (NPI# 1346257276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346257276 |
| Entity Type | Organization |
| Organization Name | LITTLE TEETH OF TEXAS DENTISTRY FOR CHILDREN PA |
| Other Organization Name | LITTLE TEETH OF TEXAS |
| Practice Address |
21714 Hardy Oak Blvd Ste 102 San Antonio TX 78258 |
| Mailing Address |
21714 Hardy Oak Blvd Ste 102 San Antonio TX 78258-4838 |
| Practice Telephone | 2104978787 |
| Mailing Telephone | 2104978787 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHAWNA MARIE BILLICK-GERLING (PEDICATRIC DENTIST) |
| Authorized Official Telephone | 2104978787 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
21204 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Little Teeth of Texas | Doing Business As Name - Organization |
| Street Address |
21714 HARDY OAK BLVD STE 102 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447270723 | Maribeth B. Melcher | Counselor | 21714 Hardy Oak Blvd, San Antonio, TX 78258-4838 | 2006-07-20 |
| 1316285679 | Clear Path Counseling, Pllc | Counselor | 21714 Hardy Oak Blvd, Suite 104, San Antonio, TX 78258-4838 | 2013-01-22 |
| 1447598933 | Christian Terrazas | Counselor | 21714 Hardy Oak Blvd, San Antonio, TX 78258-4838 | 2013-01-18 |
| 1821332362 | Sandra Araiza Salazar | Counselor | 21714 Hardy Oak Blvd, Suite 104, San Antonio, TX 78258-4838 | 2012-11-21 |
| 1497034383 | Renewing for Life Counseling Pllc | Counselor | 21714 Hardy Oak Blvd, Unit 104, San Antonio, TX 78258-4838 | 2011-08-09 |
| 1417045220 | Charlotte A Koiner | Counselor | 21714 Hardy Oak Blvd, Suite #104, San Antonio, TX 78258-4838 | 2006-10-10 |
| 1104849751 | Stacia Marie Daniel | Psychologist | 21714 Hardy Oak Blvd, Unit #104, San Antonio, TX 78258-4838 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1407478027 | Rittiman Pediatric Dentistry, Pllc | Dentist | 5723 N Foster Rd, San Antonio, TX 78244-1204 | 2020-05-18 |
| 1669011235 | Kusom Pediatric Dental South Pllc | Dentist | 1134 Culebra Rd Ste 109, San Antonio, TX 78201-6080 | 2019-12-31 |
| 1114563590 | Zaida Liliana Nieves Lopez | Dentist | 226 Serna Park, San Antonio, TX 78218-2035 | 2019-11-21 |
| 1356997126 | Northeast Children's Dentistry, Inc | Dentist | 315 N San Saba Ste 202, San Antonio, TX 78207-3193 | 2019-08-16 |
| 1033765094 | Northeast Children's Dentistry, Inc | Dentist | 21727 Ih 10 W Ste 203, San Antonio, TX 78257-2107 | 2019-08-15 |
| 1598310344 | Celebraces Se Military Pllc | Dentist | 3611 Se Military Drive, Suite B101, San Antonio, TX 78223 | 2019-08-08 |
| 1972068401 | Aventura Dental | Dentist | 11915 Perrin Beitel Rd, San Antonio, TX 78217-2127 | 2019-02-08 |
| 1427513316 | San Antonio Pediatric Dentistry, Pllc | Dentist | 17026 Bulverde Rd Ste 102, San Antonio, TX 78247-4700 | 2019-02-05 |
| 1104394816 | Cassandra Elkins Dds, Pllc | Dentist | 9543 Huebner Rd, San Antonio, TX 78240-1510 | 2018-11-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on LITTLE TEETH OF TEXAS DENTISTRY FOR CHILDREN PA.
| 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.