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SAN ANGELO ENDODONTICS, PC
NPI 1174081301
Dentist - Endodontics in San Angelo, TX

Active since March 06, 2019
2014 W BEAUREGARD AVE, SAN ANGELO, TX 76901(325) 947-3040(806) 797-2460 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About San Angelo Endodontics, Pc NPPES

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

SAN ANGELO ENDODONTICS, PC (NPI 1174081301), doing business as Concho Valley Endodontics, is a healthcare organization registered as an endodontics in San Angelo, Texas and active in the NPI registry since March 2019. The organization lists Chad R Southard, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174081301
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameSAN ANGELO ENDODONTICS, PC
Location Address2014 W BEAUREGARD AVESan Angelo, TX 76901-3813
Mailing Address2014 W Beauregard AveSan Angelo, TX 76901-3813 · (325) 947-3040 · Fax (806) 797-2460
Phone(325) 947-3040
Fax(806) 797-2460
Organization SubpartNo
Authorized OfficialChad R SouthardAdministrator · (806) 797-4455
Enumeration DateMarch 6, 2019
✔ NPI 1174081301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

2014 W BEAUREGARD AVE, San Angelo, TX 76901
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Other Names 1

Doing Business AsConcho Valley Endodontics

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

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.

DR. LANCE J. SKIDMORE D.D.S.,M.S.
Dentist (Endodontics)
2014 W BEAUREGARD AVE
SAN ANGELO, TX 76901
Tom Green County (325) 716-9597
DR. CARLOS A CARRILLO DDS, MSD
Dentist (Endodontics)
2014 W BEAUREGARD AVE
SAN ANGELO, TX 76901
Tom Green County (325) 480-1127

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 San Angelo Endodontics, PC's NPI number?

The NPI number for San Angelo Endodontics, PC is 1174081301. It was assigned to this organization in the NPPES registry on March 6, 2019. The provider is doing business as Concho Valley Endodontics.

Where is San Angelo Endodontics, PC located?

San Angelo Endodontics, PC is located at 2014 W Beauregard Ave, San Angelo, TX 76901. The listed phone number is (325) 947-3040.

What is San Angelo Endodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for San Angelo Endodontics, PC was last updated on March 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.