1. Home
  2. Directory
  3. Texas
  4. San Juan
  5. Dentist
  6. NPI Profile

EDINBURG DENTAL, PLLC
NPI 1104364165
Dentist - Pediatric Dentistry in San Juan, TX

Active since February 09, 2017
423 W FM 495, SAN JUAN, TX 78589(956) 537-6764 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Edinburg Dental, Pllc NPPES

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

EDINBURG DENTAL, PLLC (NPI 1104364165) is a healthcare organization registered as a pediatric dentistry in San Juan, Texas and active in the NPI registry since February 2017. The organization lists Sergio Ivan Guzman, Pediatric Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1104364165
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameEDINBURG DENTAL, PLLC
Location Address423 W FM 495San Juan, TX 78589-3717
Mailing AddressPo Box 102San Juan, TX 78589-0102 · (956) 537-6764
Phone(956) 537-6764
Organization SubpartNo
Authorized OfficialSergio Ivan GuzmanPediatric Dentist/owner · (956) 537-6764
Enumeration DateFebruary 9, 2017
✔ NPI 1104364165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 22644
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.
423 W FM 495, San Juan, TX 78589
Open in Google Maps ↗

Other Identifiers 1

Medicaid802626200TX

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

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 Edinburg Dental, PLLC's NPI number?

The NPI number for Edinburg Dental, PLLC is 1104364165. It was assigned to this organization in the NPPES registry on February 9, 2017.

Where is Edinburg Dental, PLLC located?

Edinburg Dental, PLLC is located at 423 W Fm 495, San Juan, TX 78589. The listed phone number is (956) 537-6764.

What is Edinburg Dental, PLLC's specialty?

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

What insurance does Edinburg 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 Edinburg 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 Edinburg Dental, PLLC was last updated on February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.