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Southside Childrensa Dental Center
Orthodontics and Dentofacial Orthopedic Dentist in San Antonio, Texas
NPI 1396174900

Southside Childrensa Dental Center is a Orthodontics and Dentofacial Orthopedic Dentist based in San Antonio, TX and is specialized in Orthodontics and Dentofacial Orthopedics. Southside Childrensa Dental Center practices in San Antonio, TX. The NPI Number for Southside Childrensa Dental Center is 1396174900 and holds a License No. 14060 (Texas).

The current practice location address for Southside Childrensa Dental Center is 125 Sw Military Dr, San Antonio, TX and can be reached out via phone at 210-922-3483.

Location: 125 Sw Military Dr, San Antonio, TX, 78221-1650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396174900
Provider Name
Southside Childrensa Dental Center
Credential
Provider Entity Type
Organization
Address
125 Sw Military Dr, San Antonio, TX, 78221-1650
Phone Number
210-922-3483
Fax Number
Provider Enumeration Date
11/04/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009833701 05 TX
209944201 05 TX
204974401 05 TX
2882862 05 TX
126722102 05 TX
institution
Provider Business Practice Location Address Details
Address
125 Sw Military Dr
City
San Antonio
State
Texas
Zip
78221-1650
Phone Number
210-922-3483
Fax Number
person
Provider Business Mailing Address Details
Address
125 Sw Military Dr
City
San Antonio
State
Texas
Zip
78221-1650
Phone Number
210-922-3483
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
23705 (Wisconsin)
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
14060 (Texas)
Definition
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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