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NORTHEAST CHILDREN'S DENTISTRY-DOMINION CROSSING LOCATION
NPI 1033765094
Dentist - Pediatric Dentistry in San Antonio, TX

Active since August 15, 2019
21727 IH 10 W STE 203, SAN ANTONIO, TX 78257(210) 314-4545(210) 314-4596 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Children's Dentistry-dominion Crossing Location NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST CHILDREN'S DENTISTRY-DOMINION CROSSING LOCATION (NPI 1033765094) is a healthcare organization registered as a pediatric dentistry in San Antonio, Texas and active in the NPI registry since August 2019. The organization lists Tracey Hay, Practice Coordinator, as its authorized official.

NPPES Registry Identity

NPI1033765094
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameNORTHEAST CHILDREN'S DENTISTRY, INC
Location Address21727 IH 10 W STE 203San Antonio, TX 78257-2107
Mailing Address21727 Ih 10 W Ste 203San Antonio, TX 78257-2107 · (210) 314-4545
Phone(210) 314-4545
Fax(210) 314-4596
Organization SubpartYes
Authorized OfficialTracey HayPractice Coordinator · (210) 654-6882
Enumeration DateAugust 15, 2019
Last NPPES UpdateNovember 27, 2023
✔ NPI 1033765094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
21727 IH 10 W STE 203, San Antonio, TX 78257
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Other Names 1

Doing Business AsNortheast Children's Dentistry-dominion Crossing Location

Other Identifiers 1

Other00K78TX · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Children's Dentistry, Inc's NPI number?

The NPI number for Northeast Children's Dentistry, Inc is 1033765094. It was assigned to this organization in the NPPES registry on August 15, 2019. The provider is doing business as Northeast Children's Dentistry-Dominion Crossing Location.

Where is Northeast Children's Dentistry, Inc located?

Northeast Children's Dentistry, Inc is located at 21727 Ih 10 W Ste 203, San Antonio, TX 78257. The listed phone number is (210) 314-4545.

What is Northeast Children's Dentistry, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Northeast Children's Dentistry, Inc was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.