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FREDERICKSBURG SQUARE DENTAL, PLLC
NPI 1497127450
Dentist - Pediatric Dentistry in San Antonio, TX

Active since October 29, 2015
3949 FREDERICKSBURG RD, SAN ANTONIO, TX 78201(210) 326-5546 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Fredericksburg Square Dental, Pllc NPPES

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

FREDERICKSBURG SQUARE DENTAL, PLLC (NPI 1497127450) is a healthcare organization registered as a pediatric dentistry in San Antonio, Texas and active in the NPI registry since October 2015. The organization lists David L Keeton, President, as its authorized official.

NPPES Registry Identity

NPI1497127450
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFREDERICKSBURG SQUARE DENTAL, PLLC
Location Address3949 FREDERICKSBURG RDSan Antonio, TX 78201-3231
Mailing Address145 Ranch DrBoerne, TX 78015-8319 · (210) 326-5546
Phone(210) 326-5546
Organization SubpartNo
Authorized OfficialDavid L KeetonPresident · (210) 500-7577
Enumeration DateOctober 29, 2015
Last NPPES UpdateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
✔ NPI 1497127450 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 · 22842
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.
3949 FREDERICKSBURG RD, San Antonio, TX 78201
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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

Other Providers at the Same Location NPPES 4

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

SUMMIT DENTAL CENTER, L.P.
Dentist (General Practice)
3949 FREDERICKSBURG RD
SAN ANTONIO, TX 78201
Bexar County (210) 785-8555
ARIEL MICHELLE MURRAY DDS
Dentist (Pediatric Dentistry)
3949 FREDERICKSBURG RD
SAN ANTONIO, TX 78201
Bexar County (210) 265-3361
DR. MADELINE JULES RODRIGUEZ DDS
Dentist
3949 FREDERICKSBURG RD
SAN ANTONIO, TX 78201
Bexar County (432) 208-9731
CARE FOR KIDS OF TEXAS, PLLC
Dentist
3949 FREDERICKSBURG RD
SAN ANTONIO, TX 78201
Bexar County (210) 785-8555

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 Fredericksburg Square Dental, PLLC's NPI number?

The NPI number for Fredericksburg Square Dental, PLLC is 1497127450. It was assigned to this organization in the NPPES registry on October 29, 2015.

Where is Fredericksburg Square Dental, PLLC located?

Fredericksburg Square Dental, PLLC is located at 3949 Fredericksburg Rd, San Antonio, TX 78201. The listed phone number is (210) 326-5546.

What is Fredericksburg Square Dental, PLLC'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 Fredericksburg Square Dental, PLLC was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.