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GERONIMO CANYON DENTISTRY, PC
NPI 1740127638
Dentist - General Practice in San Antonio, TX

Active since April 30, 2026
15489 CULEBRA RD STE 201, SAN ANTONIO, TX 78253(210) 512-1690(210) 501-1686 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Geronimo Canyon Dentistry, Pc NPPES

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

GERONIMO CANYON DENTISTRY, PC (NPI 1740127638), doing business as Geronimo Canyon Dentistry, is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since April 2026. The organization lists Roberto A Benavides, Owner, as its authorized official.

NPPES Registry Identity

NPI1740127638
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGERONIMO CANYON DENTISTRY, PC
Location Address15489 CULEBRA RD STE 201San Antonio, TX 78253-4602
Mailing AddressPo Box 660041Dallas, TX 75266-0041 · (714) 845-8890 · Fax (303) 952-0892
Phone(210) 512-1690
Fax(210) 501-1686
Organization SubpartNo
Authorized OfficialRoberto A BenavidesOwner · (210) 512-1690
Enumeration DateApril 30, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1740127638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
15489 CULEBRA RD STE 201, San Antonio, TX 78253
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Other Names 1

Doing Business AsGeronimo Canyon Dentistry

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

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 Geronimo Canyon Dentistry, PC's NPI number?

The NPI number for Geronimo Canyon Dentistry, PC is 1740127638. It was assigned to this organization in the NPPES registry on April 30, 2026. The provider is doing business as Geronimo Canyon Dentistry.

Where is Geronimo Canyon Dentistry, PC located?

Geronimo Canyon Dentistry, PC is located at 15489 Culebra Rd Ste 201, San Antonio, TX 78253. The listed phone number is (210) 512-1690.

What is Geronimo Canyon Dentistry, PC'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 Geronimo Canyon Dentistry, PC was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.