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

DE ZAVALA MODERN DENTISTRY
NPI 1104475185
Dentist in San Antonio, TX

Active since September 11, 2019
5215 DE ZAVALA RD STE 103, SAN ANTONIO, TX 78249(210) 740-0645(210) 757-4067 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2022, Nov 14, 2019, Sep 11, 2019 (3 updates tracked since 2019).

About De Zavala Modern Dentistry NPPES

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

DE ZAVALA MODERN DENTISTRY (NPI 1104475185) is a healthcare organization registered as a dentist in San Antonio, Texas and active in the NPI registry since September 2019. The organization lists Roberto A. Benavides, Owner, as its authorized official.

NPPES Registry Identity

NPI1104475185
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDE ZAVALA MODERN DENTISTRY, PC
Location Address5215 DE ZAVALA RD STE 103San Antonio, TX 78249-2985
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8206 · Fax (303) 952-0892
Phone(210) 740-0645
Fax(210) 757-4067
Organization SubpartNo
Authorized OfficialRoberto A. BenavidesOwner · (210) 740-0645
Enumeration DateSeptember 11, 2019
Last NPPES UpdateFebruary 11, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
✔ NPI 1104475185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5215 DE ZAVALA RD STE 103, San Antonio, TX 78249
Open in Google Maps ↗

Other Names 1

Doing Business AsDe Zavala Modern Dentistry

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 ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATARZYNA MALGORZATA MORCHAT D.D.S
Dentist (General Practice)
5215 DE ZAVALA RD STE 103
SAN ANTONIO, TX 78249
Bexar County (210) 740-0645
ASHLEY ATKINS THOMAS DDS
Dentist
5215 DE ZAVALA RD STE 103
SAN ANTONIO, TX 78249
Bexar County (210) 740-0645

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 De Zavala Modern Dentistry, PC's NPI number?

The NPI number for De Zavala Modern Dentistry, PC is 1104475185. It was assigned to this organization in the NPPES registry on September 11, 2019. The provider is doing business as De Zavala Modern Dentistry.

Where is De Zavala Modern Dentistry, PC located?

De Zavala Modern Dentistry, PC is located at 5215 De Zavala Rd Ste 103, San Antonio, TX 78249. The listed phone number is (210) 740-0645.

What is De Zavala Modern Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does De Zavala Modern Dentistry, PC 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 1 other insurer list De Zavala Modern Dentistry, PC 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 De Zavala Modern Dentistry, PC was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.