SOUTH PARK PLAZA DENTAL PLLC
NPI 1669846119
Dentist - General Practice in San Antonio, TX

Q: What is South Park Plaza Dental PLLC's NPI number?

The NPI number for South Park Plaza Dental PLLC is 1669846119. It was assigned to this organization in the NPPES registry on November 20, 2015.

Q: What is South Park Plaza Dental PLLC's specialty?

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

Active since November 20, 2015

2327 SW MILITARY DR, STE.102, SAN ANTONIO, TX 78224(210) 572-2393 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About South Park Plaza Dental Pllc NPPES

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

SOUTH PARK PLAZA DENTAL PLLC (NPI 1669846119) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since November 2015. The organization lists Andrew Scraver, Owner, as its authorized official.

NPPES Registry Identity

NPI1669846119

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSOUTH PARK PLAZA DENTAL PLLC

Location Address2327 SW MILITARY DR, STE.102San Antonio, TX 78224-1428

Mailing AddressPo Box 240157San Antonio, TX 78224-0157

Phone(210) 572-2393

Organization SubpartNo

Authorized OfficialAndrew ScraverOwner · (210) 572-2393

Enumeration DateNovember 20, 2015

✔ NPI 1669846119 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 · 22951

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.

2327 SW MILITARY DR, San Antonio, TX 78224

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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.

MRS. ANGELA CHRISTINE AMEN MSN, APRN, FNP-BC

Nurse Practitioner (Family)

2327 SW MILITARY DR
SAN ANTONIO, TX 78224

Bexar County (210) 934-5439

SUMMIT DENTAL CENTER, L.P.

Dentist (General Practice)

2327 SW MILITARY DR, SUITE 102
SAN ANTONIO, TX 78224

Bexar County (210) 927-5561

TAOS GOOD NP

Nurse Practitioner

2327 SW MILITARY DR
SAN ANTONIO, TX 78224

Bexar County (210) 934-5439

MALEEHA ANN RIOS MPAS

Physician Assistant

2327 SW MILITARY DR
SAN ANTONIO, TX 78224

Bexar County (210) 934-5439

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 South Park Plaza Dental PLLC's NPI number?

The NPI number for South Park Plaza Dental PLLC is 1669846119. It was assigned to this organization in the NPPES registry on November 20, 2015.

Where is South Park Plaza Dental PLLC located?

South Park Plaza Dental PLLC is located at 2327 SW Military Dr Ste.102, San Antonio, TX 78224. The listed phone number is (210) 572-2393.

What is South Park Plaza Dental 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 South Park Plaza Dental PLLC was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.