Northeast Children's Dentistry- Northern Oaks | |
4358 Thousand Oaks Dr San Antonio TX 78217-2102 | |
(210) 656-4300 | |
(210) 656-4302 |
Full Name | Northeast Children's Dentistry- Northern Oaks |
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Speciality | Dentist - Pediatric Dentistry |
Location | 4358 Thousand Oaks Dr, San Antonio, Texas |
Authorized Official Name and Position | Tracey Hay (PRACTICE COORDINATOR) |
Authorized Official Contact | 2106546882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northeast Children's Dentistry- Northern Oaks 4358 Thousand Oaks Dr San Antonio TX 78217-2102 Ph: (210) 656-4300 | Northeast Children's Dentistry- Northern Oaks 4358 Thousand Oaks Dr San Antonio TX 78217-2102 Ph: (210) 656-4300 |
NPI Number | 1689220451 |
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Provider Enumeration Date | 08/16/2019 |
Last Update Date | 11/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689220451 | NPI | - | NPPES |
00K78 | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Ideal Dental Brooks City Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 S. New Braunfels Ave, Ste 105, San Antonio, TX 78235 Phone: 210-800-8410 | |
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