DR. KELLY A BUONICONTI (NPI# 1164880787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164880787 |
| Entity Type | Individual |
| Full Name | DR. KELLY A BUONICONTI |
| Credential | D.M.D. |
| Practice Address |
26112 Overlook Pkwy Ste 1108 San Antonio TX 78260-6051 |
| Mailing Address |
4416 N Moody Ave Chicago IL 60630-3007 |
| Practice Telephone | 2102930810 |
| Mailing Telephone | 7735809827 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 31847 | TX | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RES.3571 | OH | Student, Health Care |
| Street Address |
26112 OVERLOOK PKWY STE 1108 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78260-6051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982931564 | Lemon Tree Dental - Canyon Golf, Pllc | Dentist | 26112 Overlook Pkwy, Ste. 1108, San Antonio, TX 78260 | 2009-11-03 |
| 1164773420 | Kyu Mee Yo | Dentist | 26112 Overlook Pkwy, Suite 1108, San Antonio, TX 78260-6051 | 2012-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659849180 | Total Oral Rehabilitation and Cosmetic Dental | Clinic/Center | 2690 E. Hwy 290, Suite 400, Dripping Springs, TX 78260 | 2018-11-02 |
| 1881149888 | Tristan Cheung | Dentist | 2690 E. Us 290, Suite 400, Dripping Springs, TX 78260 | 2016-08-19 |
| 1699167346 | Yumi H Couper | Social Worker | 28531 Tristant Rdg, San Antonio, TX 78260 | 2015-03-04 |
| 1215194675 | Jenel Ramos | Psychologist | 21518 Blanco Road, Suite 105, Room 7, San Antonio, TX 78260 | 2008-05-21 |
| 1477671568 | Joseph Dominic Damore | Physical Therapy Assistant | 1007 Parter Pond, San Antonio, TX 78260 | 2007-03-27 |
| 1134637473 | Jenel Sanchez Ramos Pllc | Psychologist | 21518 Blanco Road, Suite 105, Room 7, San Antonio, TX 78260 | 2018-01-22 |
| 1891044178 | Katherine Boivin | Hearing Instrument Specialist | 7390 Barlite Blvd, Suite 325, San Antonio, TX 78260 | 2012-09-02 |
| 1558673236 | Julius Ndi | Emergency Medicine | 11212 Tx-151, Emergency Medicine, San Antonio, TX 78260 | 2010-07-09 |
| 1346220506 | Robert Michael Selvester | Family Medicine | 28114 George Obrien, San Antonio, TX 78260-1459 | 2006-01-21 |
| 1629545256 | Jana Lynn Caldwell | Acupuncturist | 28120 Hwy 281 N, Suite 102, San Antonio, TX 78260-1708 | 2018-11-01 |
| Find all providers in zip 78260 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555780 | Tpc Dental Care PC | Dentist | 2610 Tpc Pkwy Ste 102, San Antonio, TX 78259-2394 | 2020-10-09 |
| 1144831629 | Eduardo Marmelstein Lima | Dentist | 7072 Bandera Rd, San Antonio, TX 78238-1201 | 2020-08-10 |
| 1255954525 | Wecare Family Dentistry Cosmetic & Dental Center Pllc. | Dentist | 7228 Bandera Rd Ste 104, San Antonio, TX 78238-1205 | 2020-05-21 |
| 1255951802 | Smilegivers Professional Corporation | Dentist | 8725 Marbach Rd Ste 201, San Antonio, TX 78227-2378 | 2020-04-23 |
| 1114555687 | Yvette Alexis Martinez | Dentist | 25235 Ih 10 W Ste 201, San Antonio, TX 78257-2105 | 2020-03-31 |
| 1861027153 | Converse Smiles Pllc | Dentist | 4230 N Foster Road, San Antonio, TX 78219 | 2020-03-06 |
| 1235761008 | Estrella and Rodrigo Dds Pllc | Dentist | 24815 Us Highway 281 N Ste 108, San Antonio, TX 78258-2601 | 2020-02-10 |
| 1043854995 | Sa Smiles, Pllc | Dentist | 1114 Sw Military Dr Ste 112, San Antonio, TX 78221-1512 | 2019-11-04 |
| 1740839828 | Hunter Ryan Acord | Dentist | 8210 Floyd Curl Dr # 8118, San Antonio, TX 78229-3923 | 2019-09-10 |
| 1922653518 | Potranco Dentistry, PC | Dentist | 10538 Potranco Rd Ste 206, San Antonio, TX 78251-3359 | 2019-08-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78260 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.