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SAN PEDRO NORTH PEDIATRIC DENTAL
NPI 1346310372
Dentist - Pediatric Dentistry in San Antonio, TX

Active since November 08, 2006
17119 SAN PEDRO AVE, SAN ANTONIO, TX 78232(210) 494-4699(210) 495-0558 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Pedro North Pediatric Dental NPPES

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

SAN PEDRO NORTH PEDIATRIC DENTAL (NPI 1346310372) is a healthcare organization registered as a pediatric dentistry in San Antonio, Texas and active in the NPI registry since November 2006. The organization lists Cynthia Anne Banker, Owner, as its authorized official.

NPPES Registry Identity

NPI1346310372
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSAN PEDRO NORTH PEDIATRIC DENTAL
Location Address17119 SAN PEDRO AVESan Antonio, TX 78232-2232
Mailing Address17119 San Pedro AveSan Antonio, TX 78232-2232 · (210) 494-4699 · Fax (210) 495-0558
Phone(210) 494-4699
Fax(210) 495-0558
Organization SubpartNo
Authorized OfficialCynthia Anne BankerOwner · (210) 494-4699
Enumeration DateNovember 8, 2006
Last NPPES UpdateOctober 24, 2014
✔ NPI 1346310372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 10762
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.
17119 SAN PEDRO AVE, San Antonio, TX 78232
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Other Identifiers 1

Medicaid009622401TX

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 3

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

DR. CYNTHIA A BANKER D. D. S.
Dentist (Pediatric Dentistry)
17119 SAN PEDRO AVE
SAN ANTONIO, TX 78232
Bexar County (210) 494-4699
SAN PEDRO AVENUE KIDS DENTAL
Dentist (Pediatric Dentistry)
17119 SAN PEDRO AVE
SAN ANTONIO, TX 78232
Bexar County (720) 603-4800
LITTLE DENTAL PEDIATRIC DENTISTRY
Dentist (Pediatric Dentistry)
17119 SAN PEDRO AVE
SAN ANTONIO, TX 78232
Bexar County (210) 494-4699

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 North Pediatric Dental's NPI number?

The NPI number for San Pedro North Pediatric Dental is 1346310372. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is San Pedro North Pediatric Dental located?

San Pedro North Pediatric Dental is located at 17119 San Pedro Ave, San Antonio, TX 78232. The listed phone number is (210) 494-4699.

What is San Pedro North Pediatric Dental'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 San Pedro North Pediatric Dental was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.