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IVY LANE DENTISTRY
NPI 1467539577
Dentist - General Practice in San Antonio, TX

Active since November 01, 2006
1073 IVY LN, SAN ANTONIO, TX 78209(210) 824-9566(210) 824-9975 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivy Lane Dentistry NPPES

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

IVY LANE DENTISTRY (NPI 1467539577) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since November 2006. The organization lists Matthew Louis Westerberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1467539577
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIVY LANE DENTISTRY
Location Address1073 IVY LNSan Antonio, TX 78209-6061
Mailing Address1073 Ivy LnSan Antonio, TX 78209-6061 · (210) 824-9566 · Fax (210) 824-9975
Phone(210) 824-9566
Fax(210) 824-9975
Organization SubpartNo
Authorized OfficialMatthew Louis WesterbergOwner · (210) 824-9566
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 7, 2010
✔ NPI 1467539577 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 · 19612
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.
1073 IVY LN, San Antonio, TX 78209
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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 UnitedHealthcare.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 Ivy Lane Dentistry's NPI number?

The NPI number for Ivy Lane Dentistry is 1467539577. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Ivy Lane Dentistry located?

Ivy Lane Dentistry is located at 1073 Ivy Ln, San Antonio, TX 78209. The listed phone number is (210) 824-9566.

What is Ivy Lane Dentistry's specialty?

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

What insurance does Ivy Lane Dentistry accept?

Health plans from UnitedHealthcare list Ivy Lane Dentistry 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 Ivy Lane Dentistry was last updated on April 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.