CROWNRIDGE DENTAL
NPI 1962028142
Clinic/Center - Oral and Maxillofacial Surgery in San Antonio, TX

Active since June 23, 2020
6827 CAMP BULLIS RD STE 302, SAN ANTONIO, TX 78256(210) 538-7500(210) 569-7750 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crownridge Dental NPPES

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

CROWNRIDGE DENTAL (NPI 1962028142) is a healthcare organization registered as an oral and maxillofacial surgery in San Antonio, Texas and active in the NPI registry since June 2020. The organization lists Christian Alexander Pham, Owner, as its authorized official.

NPPES Registry Identity

NPI1962028142
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameCROWNRIDGE DENTAL
Location Address6827 CAMP BULLIS RD STE 302San Antonio, TX 78256-1730
Mailing Address6827 Camp Bullis Rd Ste 302San Antonio, TX 78256-1730
Fax(210) 569-7750
Organization SubpartNo
Authorized OfficialChristian Alexander PhamOwner · (210) 538-7500
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
NPI 1962028142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition

An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

6827 CAMP BULLIS RD STE 302, San Antonio, TX 78256

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.

Dentist (General Practice)
6827 CAMP BULLIS RD STE 302
SAN ANTONIO, TX 78256
Dentist (General Practice)
6827 CAMP BULLIS RD STE 302
SAN ANTONIO, TX 78256
Dentist (General Practice)
6827 CAMP BULLIS RD STE 302
SAN ANTONIO, TX 78256

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 Crownridge Dental's NPI number?

The NPI number for Crownridge Dental is 1962028142. It was assigned to this organization in the NPPES registry on June 23, 2020.

Where is Crownridge Dental located?

Crownridge Dental is located at 6827 Camp Bullis Rd Ste 302, San Antonio, TX 78256. The listed phone number is (210) 538-7500.

What is Crownridge Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Crownridge Dental was last updated on June 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.