Organization · Type 2 NPI

Atlantic Dental Group LLC

General Practice Dentistry · San Antonio, TX

NPI number 1073312302 Active

Practice location

7519 Culebra Rd # 101
San Antonio, TX 78251-1501

Call (816) 830-6766 Map

Mailing address

3 Walden Elms
San Antonio, TX 78257-1232

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

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NPI record

NPI: 1073312302
Entity type: Organization (Type 2)
Issued: Mar 10, 2025
Last updated: Mar 11, 2025
Status: Active

Other names

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Spire Dental&orthodontics · doing business as
Spire Dental&orthodontics · doing business as

Authorized official

Dr. Khaled Tarboush, DDS
CEO/owner
(816) 830-6766

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About NPI 1073312302

Atlantic Dental Group LLC's National Provider Identifier is 1073312302, issued on Mar 10, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Antonio, TX. The record was last updated on Mar 11, 2025.