ALLIGATOR DENTAL NPI 1538408760

NPI Information

NPI: 1538408760
Provider Name: ALLIGATOR DENTAL
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1309 MEDICAL PARKWAY
SAN MARCOS, TX
ZIP 78666
Phone: (830) 372-5101
Get Directions

ALLIGATOR DENTAL is a pediatric dentistry dentist in San Marcos, TX. The provider is 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. ALLIGATOR DENTAL NPI is 1538408760. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1309 MEDICAL PARKWAY
SAN MARCOS, TX
ZIP 78666-998
Phone: (830) 372-5101

The provider's authorized official is Alfred Burns .
The authorized official title is Owner and has the following contact phone number (830) 491-4105.

The enumeration date for this NPI number is 2/7/2013 and was last updated on 2/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	24186	TEXAS	Yes
2	1223P0221X	Dentist	Pediatric Dentistry	25104	TEXAS	No
3	1223P0221X	Dentist	Pediatric Dentistry	28331	TEXAS	No
4	1223P0221X	Dentist	Pediatric Dentistry	28408	TEXAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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