institution
Northeast Children's Dentistry, Inc
Pediatric Dentist in San Antonio, Texas
NPI 1689220451

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 1689220451 and holds a License No. (Texas).

The current practice location address for Northeast Children's Dentistry, Inc is 4358 Thousand Oaks Dr, San Antonio, TX and can be reached out via phone at 210-656-4300 and via fax at 210-656-4302.

Location: 4358 Thousand Oaks Dr, San Antonio, TX, 78217-2102
institution
Provider Profile Details
NPI Number
1689220451
Provider Name
Northeast Children's Dentistry, Inc
Credential
Provider Entity Type
Organization
Address
4358 Thousand Oaks Dr, San Antonio, TX, 78217-2102
Phone Number
210-656-4300
Fax Number
210-656-4302
Provider Enumeration Date
08/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00K78 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4358 Thousand Oaks Dr
City
State
Zip
78217-2102
Phone Number
210-656-4300
Fax Number
210-656-4302
person
Provider Business Mailing Address Details
Address
4358 Thousand Oaks Dr
City
State
Zip
78217-2102
Phone Number
210-656-4300
Fax Number
210-656-4302
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
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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