Individual provider · Type 1 NPI

Kelly A. Buoniconti, DMD

Dentist · San Antonio, TX

NPI number 1164880787 Active

Practice location

26112 Overlook Pkwy, Ste 1108
San Antonio, TX 78260-6051

Call (210) 293-0810 Map

Mailing address

4416 N Moody Ave
Chicago, IL 60630-3007

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	RES.3571 (OH)
Dentist Primary	122300000X	31847 (TX)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1164880787

Kelly A. Buoniconti, DMD's National Provider Identifier is 1164880787, issued on Feb 10, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 7, 2016.