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TEXAS DENTAL
NPI 1356527949
Dentist - General Practice in San Antonio, TX

Active since January 14, 2008
10103 W LOOP 1604 N, STE 104, SAN ANTONIO, TX 78254(210) 495-2000(210) 495-2001 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Texas Dental NPPES

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

TEXAS DENTAL (NPI 1356527949) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since January 2008. The organization lists Michael Justin Coke, Owner, as its authorized official.

NPPES Registry Identity

NPI1356527949
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSC SHINE PLLC
Location Address10103 W LOOP 1604 N, STE 104San Antonio, TX 78254-9715
Mailing Address2211 Nw Military Hwy, Suite 212San Antonio, TX 78213-1859 · (210) 495-2000 · Fax (210) 495-2001
Phone(210) 495-2000
Fax(210) 495-2001
Organization SubpartNo
Authorized OfficialMichael Justin CokeOwner · (210) 495-2000
Enumeration DateJanuary 14, 2008
Last NPPES UpdateMarch 31, 2015
✔ NPI 1356527949 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 · 21002
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.
10103 W LOOP 1604 N, San Antonio, TX 78254
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Other Names 1

Doing Business AsTexas Dental

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 2

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

FIT-LIFE ENTERPRISES
Internal Medicine
10103 W LOOP 1604 N, SUITE 105
SAN ANTONIO, TX 78254
Bexar County (210) 701-5689
DR. SEVERIANO TRUJILLO DDS
Dentist (General Practice)
10103 W LOOP 1604 N
SAN ANTONIO, TX 78254
Bexar County (210) 495-2000

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 Sc Shine PLLC's NPI number?

The NPI number for Sc Shine PLLC is 1356527949. It was assigned to this organization in the NPPES registry on January 14, 2008. The provider is doing business as Texas Dental.

Where is Sc Shine PLLC located?

Sc Shine PLLC is located at 10103 W Loop 1604 N Ste 104, San Antonio, TX 78254. The listed phone number is (210) 495-2000.

What is Sc Shine PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sc Shine PLLC was last updated on March 31, 2015. 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.