institution
Northeast Children's Dentistry, Inc
Pediatric Dentist in San Antonio, Texas
NPI 1245252238

Northeast Children's Dentistry, Inc is a Pediatric Dentist based in San Antonio, TX and is specialized in Pediatric Dentistry. Northeast Children's Dentistry, Inc practices in San Antonio, TX. The NPI Number for Northeast Children's Dentistry, Inc is 1245252238 and holds a License No. 11694 (Texas).

The current practice location address for Northeast Children's Dentistry, Inc is 8606 Village Dr, San Antonio, TX and can be reached out via phone at 210-654-6882 and via fax at 210-654-0036.

Location: 8606 Village Dr, San Antonio, TX, 78217-5506
institution
Provider Profile Details
NPI Number
1245252238
Provider Name
Northeast Children's Dentistry, Inc
Credential
Provider Entity Type
Organization
Address
8606 Village Dr, San Antonio, TX, 78217-5506
Phone Number
210-654-6882
Fax Number
210-654-0036
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00K78V 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
8606 Village Dr
City
State
Zip
78217-5506
Phone Number
210-654-6882
Fax Number
210-654-0036
person
Provider Business Mailing Address Details
Address
8606 Village Dr
City
State
Zip
78217-5506
Phone Number
210-654-6882
Fax Number
210-654-0036
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
11694 (Texas)
Definition
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.
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