SAN PEDRO AVENUE KIDS DENTAL
NPI 1760974273
Dentist - Pediatric Dentistry in San Antonio, TX

Q: What is San Pedro Avenue Kids Dental's NPI number?

The NPI number for San Pedro Avenue Kids Dental is 1760974273. It was assigned to this organization in the NPPES registry on May 31, 2018.

Q: What is San Pedro Avenue Kids Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since May 31, 2018

17119 SAN PEDRO AVE, SAN ANTONIO, TX 78232(720) 603-4800 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About San Pedro Avenue Kids Dental NPPES

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

SAN PEDRO AVENUE KIDS DENTAL (NPI 1760974273) is a healthcare organization registered as a pediatric dentistry in San Antonio, Texas and active in the NPI registry since May 2018. The organization lists Gina Abrotsky, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1760974273

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSAN PEDRO AVENUE KIDS DENTAL

Location Address17119 SAN PEDRO AVESan Antonio, TX 78232-2232

Mailing Address17119 San Pedro AveSan Antonio, TX 78232-2232

Phone(720) 603-4800

Organization SubpartNo

Authorized OfficialGina AbrotskyCredentialing Specialist · (720) 603-4788

Enumeration DateMay 31, 2018

Last NPPES UpdateDecember 11, 2019

✔ NPI 1760974273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

17119 SAN PEDRO AVE, San Antonio, TX 78232

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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 3

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

DR. CYNTHIA A BANKER D. D. S.

Dentist (Pediatric Dentistry)

17119 SAN PEDRO AVE
SAN ANTONIO, TX 78232

Bexar County (210) 494-4699

SAN PEDRO NORTH PEDIATRIC DENTAL

Dentist (Pediatric Dentistry)

17119 SAN PEDRO AVE
SAN ANTONIO, TX 78232

Bexar County (210) 494-4699

LITTLE DENTAL PEDIATRIC DENTISTRY

Dentist (Pediatric Dentistry)

17119 SAN PEDRO AVE
SAN ANTONIO, TX 78232

Bexar County (210) 494-4699

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 San Pedro Avenue Kids Dental's NPI number?

The NPI number for San Pedro Avenue Kids Dental is 1760974273. It was assigned to this organization in the NPPES registry on May 31, 2018.

Where is San Pedro Avenue Kids Dental located?

San Pedro Avenue Kids Dental is located at 17119 San Pedro Ave, San Antonio, TX 78232. The listed phone number is (720) 603-4800.

What is San Pedro Avenue Kids Dental'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 San Pedro Avenue Kids Dental was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.