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GREAT LIFE DENTAL
NPI 1083263149
Dentist - Prosthodontics in San Antonio, TX

Active since September 10, 2019
235 E HILDEBRAND AVE STE 200, SAN ANTONIO, TX 78212(210) 821-5316 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2020, Sep 10, 2019 (2 updates tracked since 2019).

About Great Life Dental NPPES

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

GREAT LIFE DENTAL (NPI 1083263149) is a healthcare organization registered as a prosthodontics in San Antonio, Texas and active in the NPI registry since September 2019. The organization lists Fawzi Hijazi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083263149
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameRECONSTRUCTIVE DENTAL SPECIALISTS OF TEXAS
Location Address235 E HILDEBRAND AVE STE 200San Antonio, TX 78212-2430
Mailing Address235 E Hildebrand Ave # 200San Antonio, TX 78212-2430 · (210) 821-5316 · Fax (210) 829-4686
Phone(210) 821-5316
Organization SubpartNo
Authorized OfficialFawzi HijaziCeo · (210) 821-5316
Enumeration DateSeptember 10, 2019
Last NPPES UpdateApril 14, 20202 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1083263149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
235 E HILDEBRAND AVE STE 200, San Antonio, TX 78212
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Other Names 1

Doing Business AsGreat Life Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Reconstructive Dental Specialists Of Texas's NPI number?

The NPI number for Reconstructive Dental Specialists Of Texas is 1083263149. It was assigned to this organization in the NPPES registry on September 10, 2019. The provider is doing business as Great Life Dental.

Where is Reconstructive Dental Specialists Of Texas located?

Reconstructive Dental Specialists Of Texas is located at 235 E Hildebrand Ave Ste 200, San Antonio, TX 78212. The listed phone number is (210) 821-5316.

What is Reconstructive Dental Specialists Of Texas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Reconstructive Dental Specialists Of Texas was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.