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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SD- 4315FREDERICK PC

Active Organization

SD- 4315FREDERICK PC is a General Dentistry organization located in SAN ANTONIO, Texas. NPI 1174074496 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SAN ANTONIO, TX

Registration Details

NPI Number
1174074496
Provider Type
Organization
NPI Issued
Oct 21, 2016 (9.6294016827804 yrs)
Last Updated
Dec 17, 2021
License
19887 (TX)

Practice Information

Address
4522 FREDERICKSBURG RD
A28
SAN ANTONIO, TX, 782016547
Browse TX providers · Browse ZIP 78201
Phone
2105308841
Fax
2105308738
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in SAN ANTONIO, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.