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SMILE STRUCTURE
NPI 1104110501
Dentist - General Practice in San Antonio, TX

Active since June 02, 2011
3454 ROOSEVELT AVE., SAN ANTONIO, TX 78214(210) 546-1337(210) 546-1348 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Smile Structure NPPES

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

SMILE STRUCTURE (NPI 1104110501) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since June 2011. The organization lists Andrew Thomas Scraver, Owner, as its authorized official.

NPPES Registry Identity

NPI1104110501
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMISSION PLAZA DENTAL PLLC
Location Address3454 ROOSEVELT AVE.San Antonio, TX 78214
Mailing Address3454 Roosevelt Ave.San Antonio, TX 78214 · (210) 546-1337 · Fax (210) 546-1348
Phone(210) 546-1337
Fax(210) 546-1348
Organization SubpartNo
Authorized OfficialAndrew Thomas ScraverOwner · (210) 546-1337
Enumeration DateJune 2, 2011
✔ NPI 1104110501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 22951
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3454 ROOSEVELT AVE., San Antonio, TX 78214
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Other Names 1

Doing Business AsSmile Structure

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Mission Plaza Dental PLLC's NPI number?

The NPI number for Mission Plaza Dental PLLC is 1104110501. It was assigned to this organization in the NPPES registry on June 2, 2011. The provider is doing business as Smile Structure.

Where is Mission Plaza Dental PLLC located?

Mission Plaza Dental PLLC is located at 3454 Roosevelt Ave., San Antonio, TX 78214. The listed phone number is (210) 546-1337.

What is Mission Plaza Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mission Plaza Dental PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Mission Plaza Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mission Plaza Dental PLLC was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.