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DR. MARY GRACE FUENTES D.D.S.
NPI 1417337684
Dentist - General Practice in San Antonio, TX

Active since June 03, 2015PECOS Enrolled
10730 POTRANCO RD STE 111, SAN ANTONIO, TX 78251(210) 495-2000 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Grace Fuentes D.d.s. NPPES

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

DR. MARY GRACE FUENTES D.D.S. (NPI 1417337684) is an individual general practice provider in San Antonio, Texas, licensed in Texas (30929) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417337684
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARY GRACE FUENTESCredential: D.D.S.
Location Address10730 POTRANCO RD STE 111San Antonio, TX 78251-3330
Mailing Address10730 Potranco Rd Ste 111San Antonio, TX 78251-3330 · (210) 495-2000
Phone(210) 495-2000
Sole ProprietorYes
Enumeration DateJune 3, 2015
Last NPPES UpdateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
✔ NPI 1417337684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 30929
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.
Also ListedDentistTaxonomy 122300000X · License 30929 (TX)
10730 POTRANCO RD STE 111, San Antonio, TX 78251
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Other Names 1

Former Name (1)Dr. Mary Grace Camp D.d.s.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Grace Fuentes D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

SAMMY SMILES
Dentist (General Practice)
10730 POTRANCO RD STE 111
SAN ANTONIO, TX 78251
Bexar County (210) 509-8400
DUSTIN JOE ZARATE
Dentist (General Practice)
10730 POTRANCO RD STE 111
SAN ANTONIO, TX 78251
Bexar County (210) 495-2000
DR. EDUARDO VELA DDS
Dentist
10730 POTRANCO RD STE 111
SAN ANTONIO, TX 78251
Bexar County (210) 495-2000
KSENIA LEONIDOVNA ROYAL-PRIEST DMD, MS
Dentist (General Practice)
10730 POTRANCO RD STE 111
SAN ANTONIO, TX 78251
Bexar County (210) 495-2000
JEANNE BRYANT
Dentist (General Practice)
10730 POTRANCO RD STE 111
SAN ANTONIO, TX 78251
Bexar County (210) 495-2000
POTRANCO 7TO7 PLLC
Clinic/Center (Dental)
10730 POTRANCO RD STE 111
SAN ANTONIO, TX 78251
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 Mary Fuentes's NPI number?

The NPI number for Mary Fuentes is 1417337684. It was assigned to this individual provider in the NPPES registry on June 3, 2015. The provider is also known as Dr. Mary Grace Camp D.D.S..

Where is Mary Fuentes located?

Mary Fuentes practices at 10730 Potranco Rd Ste 111, San Antonio, TX 78251. The listed phone number is (210) 495-2000.

What is Mary Fuentes's specialty?

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

Is Mary Fuentes enrolled in Medicare?

Yes. Mary Fuentes is registered in the Medicare PECOS enrollment system.

What insurance does Mary Fuentes accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Mary Fuentes 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 Mary Fuentes was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.