Southside Children'S Dental Center, P.C. in San Antonio - Oral And Maxillofacial Surgery
Southside Children'S Dental Center, P.C. - NPI 1902815335
Southside Children'S Dental Center, P.C. is a Oral And Maxillofacial Surgery in San Antonio, Texas. Southside Children'S Dental Center, P.C. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Southside Children'S Dental Center, P.C. is 1902815335. The last update date is 2022-10-21.
Southside Children'S Dental Center, P.C.'s current location address is 125 Sw Military Dr, San Antonio, Texas. You can contact this provider via phone number 2109223483 and fax number 2109228902. The mailing address for Southside Children'S Dental Center, P.C. is 125 Sw Military Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Children'S Dental Center, P.C. |
|---|---|
| Address | 125 Sw Military Dr, San Antonio, Texas |
| Phone Number | 2109223483 |
| Fax Number | 2109228902 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Coderre-Zercher Doris |
| Telephone Number | 2109223483 |
NPI Number Detail
| NPI Number | 1902815335 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2022-10-21 |
Provider Mailing Address Detail
| Address | 125 Sw Military Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782211650 |
| Phone Number | 2109223483 |
| Fax Number | 2109228902 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126722102 | TX | -- | |
| 695123 | TX | UNITED CONCORDIA | |
| 7874 | TX | DELTA CARE | |
| 38644 | TX | UNITED HEALTHCARE | |
| 84D747 | TX | BLUECROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southside Children'S Dental Center, P.C. by the Centers for Medicare & Medicaid Services?
The Southside Children'S Dental Center, P.C. has been issued the NPI (National Provider Identifier) 1902815335, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Southside Children'S Dental Center, P.C.?
The Southside Children'S Dental Center, P.C. is physically situated at 125 Sw Military Dr, in the city of San Antonio, state of TX, with the postal code 782211650.
What is Southside Children'S Dental Center, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southside Children'S Dental Center, P.C.'s specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
When did Southside Children'S Dental Center, P.C. receive its 1902815335 assignment?
The Southside Children'S Dental Center, P.C. was assigned its 1902815335 on 2006-08-05, which is the date when this unique identifier was issued to the organization.
As of what date were the Southside Children'S Dental Center, P.C.'s details last updated?
The information pertaining to the Southside Children'S Dental Center, P.C., including its address, specialty, and other details, was most recently updated on 2022-10-21.
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