DENTISTRY OF SAN ANTONIO
NPI 1952117756
Dentist - Dental Public Health in San Antonio, TX

Active since December 06, 2024
13032 NACOGDOCHES RD STE 202, SAN ANTONIO, TX 78217(909) 602-7007 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 26, 2024, Dec 12, 2024, Dec 6, 2024 (3 updates tracked since 2024).

  • Organization
  • Dentist
  • Dental Public Health
  • Accepts Insurance

About DENTISTRY OF SAN ANTONIO

This page provides the complete NPI Profile along with additional information for Dentistry Of San Antonio, a provider established in San Antonio, Texas operating as a Dentist, focusing in dental public health . The healthcare provider is registered in the NPI registry with number 1952117756 assigned on December 2024. The practitioner's primary taxonomy code is 1223D0001X. The provider is registered as an organization and their NPI record was last updated 2 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. Youngjoon Kim Dds (Owner)

NPI
1952117756 Verify this NPI
Provider Name
DENTISTRY OF SAN ANTONIO
Entity Type
Organization
Location Address
13032 NACOGDOCHES RD STE 202 SAN ANTONIO, TX 78217
Location Phone
(909) 602-7007
Mailing Address
4401 LAKE APACHE DR CORPUS CHRISTI, TX 78413
Mailing Phone
(909) 602-7007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-06-2024
Last Update Date
12-26-2024
Code Navigator

A dentist like Dentistry Of San Antonio 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 Dental Public Health

Taxonomy Code
1223D0001X
Type
Dental Providers
Taxonomy Description
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

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)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

 

Group Taxonomy 193400000X 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete VALUE Gold - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Focused VALUE Silver - HMO
  • Clarity VALUE Silver - HMO
  • Complete VALUE Gold - HMO
  • Elite VALUE Bronze - HMO
  • Focused VALUE Silver - HMO
  • Standard Expanded Bronze VALUE - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. YOUNGJOON KIM DDS

Authorized Official Title
OWNER
Authorized Official Phone
(909) 602-7007

Reviews for DENTISTRY OF SAN ANTONIO

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
13032 NACOGDOCHES RD STE 202
SAN ANTONIO, TX 78217
Dentist (Pediatric Dentistry)
13032 NACOGDOCHES RD STE 202
SAN ANTONIO, TX 78217
Dentist (General Practice)
13032 NACOGDOCHES RD STE 202
SAN ANTONIO, TX 78217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952117756, enumerated as an "organization" on December 06, 2024.

The provider is located at 13032 NACOGDOCHES RD STE 202 SAN ANTONIO, TX 78217 and the phone number is (909) 602-7007.

Dentist with taxonomy code 1223D0001X and a focus in Dental Public Health.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.