SEVILLE PARK ENDODONTICS PLLC
NPI 1740376540
Dentist - Endodontics in San Antonio, TX

Active since October 05, 2006
8211 FREDERICKSBURG RD, SAN ANTONIO, TX 78229(210) 617-5536(210) 614-4266 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Endodontics

About SEVILLE PARK ENDODONTICS PLLC

This page provides the complete NPI Profile along with additional information for Seville Park Endodontics Pllc, a provider established in San Antonio, Texas operating as a Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1740376540 assigned on October 2006. The practitioner's primary taxonomy code is 1223E0200X with license number 17400 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Timothy A Ingram Dmd Ms (Endodontist)

NPI
1740376540 Verify this NPI
Provider Name
SEVILLE PARK ENDODONTICS PLLC
Entity Type
Organization
Location Address
8211 FREDERICKSBURG RD SAN ANTONIO, TX 78229
Location Phone
(210) 617-5536
Location Fax
(210) 614-4266
Mailing Address
8211 FREDERICKSBURG RD SAN ANTONIO, TX 78229
Mailing Phone
(210) 617-5536
Mailing Fax
(210) 614-4266
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Seville Park Endodontics Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Endodontics

Taxonomy Code
1223E0200X
Type
Dental Providers
License No.
17400
License State
TX
Taxonomy Description
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223E0200XDental Providers

Dentist
Endodontics

18608 (TX)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TIMOTHY A INGRAM DMD MS

Authorized Official Title
ENDODONTIST
Authorized Official Phone
(210) 617-8536

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Endodontics)
8211 FREDERICKSBURG RD, SEVILLE PARK ENDODONTICS PLLC
SAN ANTONIO, TX 78229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740376540, enumerated as an "organization" on October 05, 2006.

The provider is located at 8211 FREDERICKSBURG RD SAN ANTONIO, TX 78229 and the phone number is (210) 617-5536.

Dentist with taxonomy code 1223E0200X and a focus in Endodontics.