SAN ANTONIO PEDIATRIC DENTISTRY, PLLC


Address: 17026 Bulverde Rd Ste 102, San Antonio, TX 78247-4700
Phone: 2109448111

SAN ANTONIO PEDIATRIC DENTISTRY, PLLC (NPI# 1427513316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427513316
Entity Type Organization
Organization Name SAN ANTONIO PEDIATRIC DENTISTRY, PLLC
Other Organization Name SAN ANTONIO PEDIATRIC DENTISTRY AND ORTHODONTICS
Practice Address 17026 Bulverde Rd Ste 102
San Antonio
TX 78247-4700
Mailing Address 1320 Wonder World Dr Ste 103
San Marcos
TX 78666-7558
Practice Telephone 2109448111
Mailing Telephone 2109448111
Enumeration Date 2019-02-05
Last Update Date 2020-07-24
Authorized Official Name CLAUDIA RAINS (OFFICE MANAGER)
Authorized Official Telephone 5123535500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider/Organization Names

Other Name Type Code
San Antonio Pediatric Dentistry and Orthodontics Doing Business As Name - Organization
San Antonio Pediatric Dentistry, PLLC Doing Business As Name - Organization

Office Location

Street Address 17026 BULVERDE RD STE 102
City SAN ANTONIO
State TX
Zip Code 78247-4700

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487134466 Minerva Desdemona Williams Occupational Therapy Assistant 1 Heartland Drive, San Antonio, TX 78247 2018-08-18
1730698903 Stefanie Anne Gray Psychologist 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 2017-09-20
1710405618 Denisa Nicole Lopez Physical Therapist 16506 Blanco Key, San Antonio, TX 78247 2017-08-31
1114458361 H-e-b, Lp Eyewear Supplier (Equipment, not the service) 17238 Bulverde Rd, San Antonio, TX 78247 2017-03-21
1376083899 H-e-b, Lp Clinical Medical Laboratory 17238 Bulverde Road, San Antonio, TX 78247 2017-03-02
1417494659 Cook Childrens Home Health Durable Medical Equipment & Medical Supplies 11911 Starcrest Drive, San Antonio, TX 78247 2017-01-26
1245772268 Sarah Rudd Specialist/Technologist 5126 Spring Bridge, San Antonio, TX 78247 2016-11-08
1477903938 Kadie Patricia Kress Physical Therapist 4718 Cypress Mill Dr, San Antonio, TX 78247 2016-06-15
1649653288 Regina Giannola Perfusionist 6742 Manor Hill Dr., San Antonio, TX 78247 2015-07-01
1538565189 Swift Eye Care, Pllc Optometrist 17230 Bulverde Rd, Suite 104, San Antonio, TX 78247 2014-11-10
Find all providers in zip 78247

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

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
1104394816 Cassandra Elkins Dds, Pllc Dentist 9543 Huebner Rd, San Antonio, TX 78240-1510 2018-11-12
1558849893 Purple Iris Dental Association Dentist 18010 Bulverde Rd Ste 112, San Antonio, TX 78259-3346 2018-07-30
Find all providers in SAN ANTONIO

Competitor

Search similar providers

City SAN ANTONIO
Zip Code 78247

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Dataset Information

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.

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