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DEZAVALA DENTAL AND BRACES
NPI 1194494708
Dentist - General Practice in San Antonio, TX

Active since September 08, 2021
4519 DEZAVALA ROAD, SAN ANTONIO, TX 78249(210) 690-9221 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 16, 2021, Sep 8, 2021 (2 updates tracked since 2021).

About Dezavala Dental And Braces NPPES

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

DEZAVALA DENTAL AND BRACES (NPI 1194494708) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since September 2021. The organization lists Joel Olmos, Owner/ Doctor, as its authorized official.

NPPES Registry Identity

NPI1194494708
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEZAVALA DENTAL AND BRACES PLLC
Location Address4519 DEZAVALA ROADSan Antonio, TX 78249
Mailing Address4519 Dezavala RoadSan Antonio, TX 78249 · (210) 690-9221
Phone(210) 690-9221
Organization SubpartNo
Authorized OfficialJoel OlmosOwner/ Doctor · (512) 268-3384
Enumeration DateSeptember 8, 2021
Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
✔ NPI 1194494708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
4519 DEZAVALA ROAD, San Antonio, TX 78249
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Other Names 1

Doing Business AsDezavala Dental And Braces

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 Dezavala Dental And Braces PLLC's NPI number?

The NPI number for Dezavala Dental And Braces PLLC is 1194494708. It was assigned to this organization in the NPPES registry on September 8, 2021. The provider is doing business as Dezavala Dental And Braces.

Where is Dezavala Dental And Braces PLLC located?

Dezavala Dental And Braces PLLC is located at 4519 Dezavala Road, San Antonio, TX 78249. The listed phone number is (210) 690-9221.

What is Dezavala Dental And Braces PLLC's specialty?

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

What insurance does Dezavala Dental And Braces 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 Dezavala Dental And Braces 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 Dezavala Dental And Braces PLLC was last updated on November 16, 2021. 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.