Organization · Type 2 NPI

Southside Childrensa Dental Center

Orthodontics and Dentofacial Orthopedics Dentistry · San Antonio, TX

NPI number 1396174900 Active

Practice location

125 SW Military Dr
San Antonio, TX 78221-1650

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry	1223P0221X	14060 (TX)
Pediatric Dentistry	1223P0221X	23705 (WI)
Pediatric Dentistry	1223P0221X	25239 (PA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	27696 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1396174900

Southside Childrensa Dental Center's National Provider Identifier is 1396174900, issued on Nov 4, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Antonio, TX. The record was last updated on Nov 4, 2013.