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BRADFORD LEGACY DENTAL
NPI 1932864634
Dentist - General Practice in San Antonio, TX

Active since November 08, 2021
4158 SWANS LNDG, SAN ANTONIO, TX 78217(210) 655-4867 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradford Legacy Dental NPPES

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

BRADFORD LEGACY DENTAL (NPI 1932864634), doing business as Next Generation Dental Spa And Cosmetics, is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since November 2021. The organization lists Gwendolyn Calderon, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1932864634
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRADFORD LEGACY DENTAL
Location Address4158 SWANS LNDGSan Antonio, TX 78217-4239
Mailing Address4158 Swans LndgSan Antonio, TX 78217-4239 · (210) 655-4867
Phone(210) 655-4867
Organization SubpartNo
Authorized OfficialGwendolyn CalderonSole Member · (210) 655-4867
Enumeration DateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
✔ NPI 1932864634 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.
4158 SWANS LNDG, San Antonio, TX 78217
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Other Names 1

Doing Business AsNext Generation Dental Spa And Cosmetics

Other Identifiers 2

Other1396831681TX · Npi
Other1831602796TX · Npi

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

GWENDOLYN TAYLOR CALDERON DDS
Dentist (General Practice)
4158 SWANS LNDG
SAN ANTONIO, TX 78217
Bexar County (210) 655-4867
DIANE TICE
Dentist (General Practice)
4158 SWANS LNDG
SAN ANTONIO, TX 78217
Bexar County (210) 590-4867

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 Bradford Legacy Dental's NPI number?

The NPI number for Bradford Legacy Dental is 1932864634. It was assigned to this organization in the NPPES registry on November 8, 2021. The provider is doing business as Next Generation Dental Spa and Cosmetics.

Where is Bradford Legacy Dental located?

Bradford Legacy Dental is located at 4158 Swans Lndg, San Antonio, TX 78217. The listed phone number is (210) 655-4867.

What is Bradford Legacy Dental'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 Bradford Legacy Dental was last updated on November 8, 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.