Individual provider · Type 1 NPI

Richard Douglas Taverna, PhD, DDS

General Practice Dentistry · San Antonio, TX

NPI number 1912903444 Active · reactivated Mar 28, 2006

Practice location

430 W Loop 1604 N, Suite 109
San Antonio, TX 78251-3342

Call (210) 469-3869 Map

Fax (210) 402-0025

Mailing address

430 W.loop 1604 North, Suite 109
San Antonio, TX 78251

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X13696 (TX)

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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About NPI 1912903444

Richard Douglas Taverna, PhD, DDS's National Provider Identifier is 1912903444, issued on Jun 21, 2005. 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 Sep 12, 2012.