SEVILLE PARK ENDODONTICS PLLC NPI 1740376540

NPI Information

  • NPI: 1740376540
  • Provider Name: SEVILLE PARK ENDODONTICS PLLC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 8211 FREDERICKSBURG RD
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 617-5536

Map and Directions

Get Directions

NPI Details

SEVILLE PARK ENDODONTICS PLLC is an endodontics dentist in San Antonio, TX. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. SEVILLE PARK ENDODONTICS PLLC NPI is 1740376540. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8211 FREDERICKSBURG RD
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 617-5536
Fax: (210) 614-4266

The provider's authorized official is Timothy A Ingram .
The authorized official title is Endodontist and has the following contact phone number (210) 617-8536.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 8/22/2020.

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
11223E0200XDentistEndodontics18608TEXASNo
21223E0200XDentistEndodontics17400TEXASYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.