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SAN PEDRO SMILES P.A.
NPI 1255628582
Dentist - General Practice in San Antonio, TX

Active since July 07, 2011
5101 SAN PEDRO AVE, SUITE 102, SAN ANTONIO, TX 78212(210) 737-6900(210) 737-6904 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Pedro Smiles P.a. NPPES

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

SAN PEDRO SMILES P.A. (NPI 1255628582) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since July 2011. The organization lists Justin J Gonzalez, Owner -dentist, as its authorized official.

NPPES Registry Identity

NPI1255628582
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAN PEDRO SMILES P.A.
Location Address5101 SAN PEDRO AVE, SUITE 102San Antonio, TX 78212-1461
Mailing Address5101 San Pedro Ave, Suite 102San Antonio, TX 78212-1461 · (210) 737-6900 · Fax (210) 737-6904
Phone(210) 737-6900
Fax(210) 737-6904
Organization SubpartNo
Authorized OfficialJustin J GonzalezOwner -dentist · (210) 737-6900
Enumeration DateJuly 7, 2011
✔ NPI 1255628582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 22242
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.
5101 SAN PEDRO AVE, San Antonio, TX 78212
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc..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 San Pedro Smiles P.A.'s NPI number?

The NPI number for San Pedro Smiles P.A. is 1255628582. It was assigned to this organization in the NPPES registry on July 7, 2011.

Where is San Pedro Smiles P.A. located?

San Pedro Smiles P.A. is located at 5101 San Pedro Ave Suite 102, San Antonio, TX 78212. The listed phone number is (210) 737-6900.

What is San Pedro Smiles P.A.'s specialty?

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

What insurance does San Pedro Smiles P.A. accept?

Health plans from DentaQuest USA Insurance Company, Inc. list San Pedro Smiles P.A. 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 San Pedro Smiles P.A. was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.