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DEZAVALA FAMILY DENTAL, PLLC
NPI 1376085712
Dentist - General Practice in San Antonio, TX

Active since November 16, 2016
5563 DE ZAVALA RD, 160, SAN ANTONIO, TX 78249(210) 696-7885 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dezavala Family Dental, Pllc NPPES

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

DEZAVALA FAMILY DENTAL, PLLC (NPI 1376085712) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since November 2016. The organization lists Andia Nadimi, President, as its authorized official.

NPPES Registry Identity

NPI1376085712
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEZAVALA FAMILY DENTAL, PLLC
Location Address5563 DE ZAVALA RD, 160San Antonio, TX 78249-1734
Mailing Address5563 De Zavala Rd Ste 160San Antonio, TX 78249-1738 · (210) 696-7885
Phone(210) 696-7885
Organization SubpartNo
Authorized OfficialAndia NadimiPresident · (210) 696-7885
Enumeration DateNovember 16, 2016
✔ NPI 1376085712 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 · 26540
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.
5563 DE ZAVALA RD, San Antonio, TX 78249
Open in Google Maps ↗

Other Identifiers 1

Medicaid28162330TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

DR. WILLIAM THAN HTUN DDS
Dentist (General Practice)
5563 DE ZAVALA RD, SUITE 160
SAN ANTONIO, TX 78249
Bexar County (210) 696-7885

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 Dezavala Family Dental, PLLC's NPI number?

The NPI number for Dezavala Family Dental, PLLC is 1376085712. It was assigned to this organization in the NPPES registry on November 16, 2016.

Where is Dezavala Family Dental, PLLC located?

Dezavala Family Dental, PLLC is located at 5563 De Zavala Rd 160, San Antonio, TX 78249. The listed phone number is (210) 696-7885.

What is Dezavala Family Dental, PLLC's specialty?

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

What insurance does Dezavala Family Dental, PLLC accept?

Health plans from UnitedHealthcare list Dezavala Family Dental, 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 Dezavala Family Dental, PLLC was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.