XLNT DENTAL PLLC (NPI# 1346780566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346780566 |
| Entity Type | Organization |
| Organization Name | XLNT DENTAL PLLC |
| Other Organization Name | GRAVIS & RILEY FAMILY DENTAL CARE |
| Practice Address |
504 E Gravis St San Diego TX 78384-2708 |
| Mailing Address |
3130 Canaveral Dr San Antonio TX 78217-4007 |
| Practice Telephone | 2019709158 |
| Mailing Telephone | 2109709158 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | DR. DANIELA MARIE P PUNZALAN (OWNER/ GENERAL DENTIST) |
| Authorized Official Telephone | 2019709158 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30778 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Gravis & Riley Family Dental Care | Doing Business As Name - Organization |
| Street Address |
504 E GRAVIS ST |
| City | SAN DIEGO |
| State | TX |
| Zip Code | 78384-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992286280 | Lora Pyle | Licensed Vocational Nurse | 1173 County Rd 174, San Deigo, TX 78384 | 2018-08-24 |
| 1669778551 | Haven Skilled Services, LLC | Home Health | 4962 Fm 1329, San Diego, TX 78384 | 2011-02-10 |
| 1669630372 | Onsite Nursing Services, Inc. | Home Health | 806 E. Gravis St., San Diego, TX 78384 | 2008-05-29 |
| 1649383571 | Eduardo O. Caveda Md Pa | Clinic/Center | 102 E King Ave, San Diego, TX 78384-1838 | 2006-08-16 |
| 1164473385 | San Antonio Vamc | Clinic/Center | 102 E King Ave, Spohn San Diego Family Health Clinic Suite 200, San Diego, TX 78384-1838 | 2006-05-12 |
| 1588044788 | Our Healing Heart Homecare, LLC | Home Health | 5003 County Road 110, Unit C, San Diego, TX 78384-2432 | 2015-06-02 |
| 1811382948 | Sacred Heart Phc,llc | Technician | 103 W Gravis St, San Diego, TX 78384-2639 | 2015-04-06 |
| 1821133455 | La Hacienda Pharmacy Inc | Pharmacy | 213 S Dr E E Dunlap St, San Diego, TX 78384-2801 | 2007-02-21 |
| 1962758391 | Buzy Bee Speech Therapy, LLC | Speech-Language Pathologist | 204 S Dr Ee Dunlap St, San Diego, TX 78384-2802 | 2012-08-03 |
| 1982048120 | Talisha Long | Speech-Language Pathologist | 204 S Dr Ee Dunlap St, San Diego, TX 78384-2802 | 2013-04-18 |
| Find all providers in zip 78384 | ||||
| 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 |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
| Find all providers in SAN DIEGO | ||||
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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.