CIBOLO PEDIATRIC DENTISTRY, PLLC (NPI# 1346732807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346732807 |
| Entity Type | Organization |
| Organization Name | CIBOLO PEDIATRIC DENTISTRY, PLLC |
| Practice Address |
3738 Cibolo Valley Dr. Cibolo TX 78108 |
| Mailing Address |
Po Box 356 Lytle TX 78052-0356 |
| Practice Telephone | 8307724200 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | JOANNA AYALA (OWNER) |
| Authorized Official Telephone | 2106324560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
3738 CIBOLO VALLEY DR. |
| City | CIBOLO |
| State | TX |
| Zip Code | 78108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947180 | Urban Dental PCs | Dentist | 2451 Fh 1103, #109, Cibolo, TX 78108 | 2019-05-10 |
| 1104381474 | Cvs Pharmacy Inc | Pharmacy | 5334 Fm 1103, Schertz, TX 78108 | 2019-01-31 |
| 1497225973 | Mission Rehabilitation and Sports Medicine Limited Partnership | Physical Therapist | 232 Brite Road, Suite 113, Cibolo, TX 78108 | 2018-11-28 |
| 1417438425 | Laura Daigle | Registered Nurse | 580 Cibolo Valley Dr Ste 221, Cibolo, TX 78108 | 2018-08-27 |
| 1184102147 | Cibolo-south Texas Center for Pediatric Care | Pediatrics | 580 Cibolo Valley Drive, Suite 221, Cibolo, TX 78108 | 2018-08-01 |
| 1285135251 | Cynthia Schuster | Licensed Vocational Nurse | 3956 Whisper Field, Cibolo, TX 78108 | 2018-02-26 |
| 1710403761 | Samuel Wyatt Hensley | Military Health Care Provider | 100 Cirrus Cv, Cibolo, TX 78108 | 2017-08-21 |
| 1033632443 | Afcc-affinity Family Care Clinic | Nurse Practitioner | 232 Brite Rd, Suite 117, Cibolo, TX 78108 | 2017-07-18 |
| 1366964744 | Hector Eduardo Pallares-hernandez | Nurse Practitioner | 409 Stonebrook Dr, Cibolo, TX 78108 | 2017-07-07 |
| 1437670163 | Ruth Davis | Specialist/Technologist | 2521 Hourless Oaks Ln, Schertz, TX 78108 | 2017-07-03 |
| Find all providers in zip 78108 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120964 | Alligator Dental Cibolo, Pllc | Dentist | 112 Gulf Street, Cibolo, TX 78108 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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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.