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POLISHED PEDIATRIC DENTISTRY
NPI 1245171404
Dentist - Pediatric Dentistry in San Antonio, TX

Active since April 02, 2026
13772 OLD FM 471 W # 304, SAN ANTONIO, TX 78253(210) 200-3008(210) 200-3009 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Polished Pediatric Dentistry NPPES

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

POLISHED PEDIATRIC DENTISTRY (NPI 1245171404) is a healthcare organization registered as a pediatric dentistry in San Antonio, Texas and active in the NPI registry since April 2026. The organization lists Nancy Ly, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1245171404
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePOLISHED PEDIATRIC DENTISTRY
Location Address13772 OLD FM 471 W # 304San Antonio, TX 78253-2001
Mailing Address13772 Old Fm 471 W # 304San Antonio, TX 78253-2001 · (210) 200-3008 · Fax (210) 200-3009
Phone(210) 200-3008
Fax(210) 200-3009
Organization SubpartNo
Authorized OfficialNancy LyPediatric Dentist · (210) 200-3008
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1245171404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
13772 OLD FM 471 W # 304, San Antonio, TX 78253
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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 SINGLE SPECIALTY GROUP

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 Polished Pediatric Dentistry's NPI number?

The NPI number for Polished Pediatric Dentistry is 1245171404. It was assigned to this organization in the NPPES registry on April 2, 2026.

Where is Polished Pediatric Dentistry located?

Polished Pediatric Dentistry is located at 13772 Old Fm 471 W # 304, San Antonio, TX 78253. The listed phone number is (210) 200-3008.

What is Polished Pediatric Dentistry's specialty?

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

When was this NPI record last updated?

The NPPES record for Polished Pediatric Dentistry was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.