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Southside Children's Dental Center, P.c.
Orthodontics and Dentofacial Orthopedic Dentist in San Antonio, Texas
NPI 1902815335

Southside Children's Dental Center, P.c. is a Orthodontics and Dentofacial Orthopedic Dentist based in San Antonio, TX and is specialized in Orthodontics and Dentofacial Orthopedics. Southside Children's Dental Center, P.c. practices in San Antonio, TX. The NPI Number for Southside Children's Dental Center, P.c. is 1902815335 and holds a License No. (Texas).

The current practice location address for Southside Children's Dental Center, P.c. is 125 Sw Military Dr, San Antonio, TX and can be reached out via phone at 210-922-3483 and via fax at 210-922-8902. You can also correspond with Southside Children's Dental Center, P.c. through the mailing address at 125 SW MILITARY DR, SAN ANTONIO, TX - 78221-1650 (mailing address contact number: 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
1902815335
Provider Name
Southside Children's Dental Center, P.c.
Credential
Provider Entity Type
Organization
Address
125 Sw Military Dr, San Antonio, TX, 78221-1650
Phone Number
210-922-3483
Fax Number
210-922-8902
Provider Enumeration Date
08/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
126722102 05 TX
695123 01 TX UNITED CONCORDIA
007874 01 TX DELTA CARE
38644 01 TX UNITED HEALTHCARE
84D747 01 TX BLUECROSS
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
210-922-8902
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
210-922-8902
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
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.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 4
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
()
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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