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FREDRICKSBURG SMILES PLLC
NPI 1790447118
Dentist - General Practice in San Antonio, TX

Active since October 13, 2021
1703 FREDERICKSBURG ROAD, SAN ANTONIO, TX 78210(903) 360-8657 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fredricksburg Smiles Pllc NPPES

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

FREDRICKSBURG SMILES PLLC (NPI 1790447118), doing business as Shine Dental, is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since October 2021. The organization lists Dhaval Thakkar, Owner / Dentist, as its authorized official.

NPPES Registry Identity

NPI1790447118
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFREDRICKSBURG SMILES PLLC
Location Address1703 FREDERICKSBURG ROADSan Antonio, TX 78210
Mailing Address6510 Apsley Creek LnSugar Land, TX 77479-4371 · (903) 360-8657
Phone(903) 360-8657
Organization SubpartNo
Authorized OfficialDhaval ThakkarOwner / Dentist · (903) 360-8657
Enumeration DateOctober 13, 2021
NPPES CertifiedSeptember 28, 2021
✔ NPI 1790447118 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.
1703 FREDERICKSBURG ROAD, San Antonio, TX 78210
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Other Names 1

Doing Business AsShine Dental

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Fredricksburg Smiles PLLC's NPI number?

The NPI number for Fredricksburg Smiles PLLC is 1790447118. It was assigned to this organization in the NPPES registry on October 13, 2021. The provider is doing business as Shine Dental.

Where is Fredricksburg Smiles PLLC located?

Fredricksburg Smiles PLLC is located at 1703 Fredericksburg Road, San Antonio, TX 78210. The listed phone number is (903) 360-8657.

What is Fredricksburg Smiles PLLC's specialty?

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

What insurance does Fredricksburg Smiles PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Fredricksburg Smiles PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fredricksburg Smiles PLLC was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.