Organization · Type 2 NPI

Northeast Children's Dentistry, Inc

Pediatric Dentistry · San Antonio, TX

NPI number 1033765094 Active

Practice location

21727 Ih 10 W Ste 203
San Antonio, TX 78257-2107

Fax (210) 314-4596

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

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.

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NPI record

NPI: 1033765094
Entity type: Organization (Type 2)
Issued: Aug 15, 2019
Last updated: Nov 27, 2023
Status: Active
Subpart: Yes of Northeast Children's Dentistry, Inc

Other names

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Northeast Children's Dentistry-Dominion Crossing Location · doing business as

Authorized official

Tracey Hay
Practice Coordinator
(210) 654-6882

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About NPI 1033765094

Northeast Children's Dentistry, Inc's National Provider Identifier is 1033765094, issued on Aug 15, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Antonio, TX. The record was last updated on Nov 27, 2023.