Organization · Type 2 NPI

Northeast Children's Dentistry, Inc

Pediatric Dentistry · San Antonio, TX

NPI number 1356997126 Active

Practice location

315 N San Saba Ste 202
San Antonio, TX 78207-3193

Fax (210) 223-1055

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.

Another provider at this address

Hugo A. Rivera, DDSPediatric Dentistry San Antonio, TX NPI 1144430927

Other pediatric dentistry providers in San Antonio

See all in San Antonio →

NPI record

NPI: 1356997126
Entity type: Organization (Type 2)
Issued: Aug 16, 2019
Last updated: Nov 27, 2023
Status: Active
Subpart: Yes of Northeast Children's Dentistry, Inc

Other names

Northeast Children's Dentistry-Downtown Location · doing business as

Authorized official

Tracey Hay
Practice Coordinator
(210) 654-6882

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356997126

Northeast Children's Dentistry, Inc's National Provider Identifier is 1356997126, issued on Aug 16, 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.