Organization · Type 2 NPI

Northeast Children's Dentistry, Inc

Pediatric Dentistry · San Antonio, TX

NPI number 1689220451 Active

Practice location

4358 Thousand Oaks Dr
San Antonio, TX 78217-2102

Fax (210) 656-4302

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

Melissa Reed Rosson, DDSDentist San Antonio, TX NPI 1083932081

Other pediatric dentistry providers in San Antonio

See all in San Antonio →

NPI record

NPI: 1689220451
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

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Northeast Children's Dentistry- Northern Oaks · doing business as
Northeast Children's Dentistry- Northern Oaks · doing business as

Authorized official

Tracey Hay
Practice Coordinator
(210) 654-6882

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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 1689220451

Northeast Children's Dentistry, Inc's National Provider Identifier is 1689220451, 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.