| Texas Smiles Dental Center Of San Antonio, Pllc | |
|
4847 W Commerce St San Antonio TX 78237-1505 | |
| (210) 432-0909 | |
| (210) 432-2070 |
| Full Name | Texas Smiles Dental Center Of San Antonio, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4847 W Commerce St, San Antonio, Texas |
| Authorized Official Name and Position | Jenell Stringer (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Smiles Dental Center Of San Antonio, Pllc 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Texas Smiles Dental Center Of San Antonio, Pllc 4847 W Commerce St San Antonio TX 78237-1505 Ph: (210) 432-0909 |
| NPI Number | 1679899538 |
|---|---|
| Provider Enumeration Date | 04/15/2010 |
| Last Update Date | 06/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679899538 | NPI | - | NPPES |
| 211288001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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