San Pedro North Pediatric Dental

LBN: San Pedro North Pediatric Dental
San Pedro North Pediatric Dental is an health care organization with primary practice located at 17119 San Pedro Ave , San Antonio TX 78232-2232. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. San Pedro North Pediatric Dental can be contacted via phone (210) 494-4699, or through Banker, Cynthia Anne via phone (210) 494-4699.

Contact Information

Primary practice address
17119 San Pedro Ave San Antonio TX 78232-2232
Phone: (210) 494-4699
Fax: (210) 495-0558
Website:
Map and Directions
Authorized official contact:
Name: Banker, Cynthia Anne DDS,MA
Phone: (210) 494-4699

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 10762 Texas

Profile Details

NPI number 1346310372
LBN Legal business name San Pedro North Pediatric Dental
DBA Doing business as
Authorized official Banker, Cynthia Anne DDS,MA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Oct 24th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346310372 NPPES
Texas MEDICAID 009622401

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