WEST AVENUE FAMILY DENTAL
NPI 1033660725
Clinic/Center - Dental in San Antonio, TX

Active since October 18, 2016
12251 WEST AVE, SAN ANTONIO, TX 78216(210) 342-6734(210) 375-1396 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About WEST AVENUE FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for West Avenue Family Dental, a provider established in San Antonio, Texas operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1033660725 assigned on October 2016. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as West Avenue Family Dental. The authorized official of this NPI record is Kathleen B Fonseca Mba (Chief Operating Officer)

NPI
1033660725 Verify this NPI
Provider Legal Name
KLENKE & ASSOCIATES, PA
Other Organization Name
WEST AVENUE FAMILY DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12251 WEST AVE SAN ANTONIO, TX 78216
Location Phone
(210) 342-6734
Location Fax
(210) 375-1396
Mailing Address
11115 WURZBACH RD SAN ANTONIO, TX 78230
Mailing Phone
(210) 877-2273
Mailing Fax
(210) 561-5500
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-18-2016
Last Update Date
10-18-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHLEEN B FONSECA MBA

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(210) 877-2273

Reviews for WEST AVENUE FAMILY DENTAL

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
12251 WEST AVE
SAN ANTONIO, TX 78216
Family Medicine
12251 WEST AVE
SAN ANTONIO, TX 78216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033660725, enumerated as an "organization" on October 18, 2016.

The provider is located at 12251 WEST AVE SAN ANTONIO, TX 78216 and the phone number is (210) 342-6734.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.