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JETTY UNITED PLLC
NPI 1225797467
Dentist - Pediatric Dentistry in San Antonio, TX

Active since December 15, 2021
10003 NW MILITARY HWY STE 3201, SAN ANTONIO, TX 78231(210) 417-4181(210) 504-4969 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jetty United Pllc NPPES

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

JETTY UNITED PLLC (NPI 1225797467) is a healthcare organization registered as a pediatric dentistry in San Antonio, Texas and active in the NPI registry since December 2021. The organization lists Paul A Kennedy, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1225797467
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJETTY UNITED PLLC
Location Address10003 NW MILITARY HWY STE 3201San Antonio, TX 78231-1892
Mailing Address10003 Nw Military Hwy Ste 3201San Antonio, TX 78231-1892 · (210) 971-6018
Phone(210) 417-4181
Fax(210) 504-4969
Organization SubpartNo
Authorized OfficialPaul A KennedyDoctor/owner · (210) 971-6018
Enumeration DateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1225797467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
10003 NW MILITARY HWY STE 3201, San Antonio, TX 78231
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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 MULTIPLE 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 ›

Other Providers at the Same Location NPPES 3

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

RWPK PLLC
Dentist (Pediatric Dentistry)
10003 NW MILITARY HWY STE 3201
SAN ANTONIO, TX 78231
Bexar County (210) 417-4181
JARED DAVID LEE DMD
Dentist (Pediatric Dentistry)
10003 NW MILITARY HWY STE 3201
SAN ANTONIO, TX 78231
Bexar County (210) 417-4181
DR. PEYCHI WU ANDERSON D.M.D
Dentist (Pediatric Dentistry)
10003 NW MILITARY HWY STE 3201
SAN ANTONIO, TX 78231
Bexar County (210) 417-4181

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 Jetty United PLLC's NPI number?

The NPI number for Jetty United PLLC is 1225797467. It was assigned to this organization in the NPPES registry on December 15, 2021.

Where is Jetty United PLLC located?

Jetty United PLLC is located at 10003 NW Military Hwy Ste 3201, San Antonio, TX 78231. The listed phone number is (210) 417-4181.

What is Jetty United PLLC's specialty?

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

What insurance does Jetty United 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 3 other insurers list Jetty United 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 Jetty United PLLC was last updated on December 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.