SOUTHEAST ENDODONTIC GROUP PC (NPI# 1588076103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588076103 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST ENDODONTIC GROUP PC |
| Practice Address |
3303 S Ww White Rd San Antonio TX 78222-4829 |
| Practice Telephone | 2102578863 |
| Practice Fax Number | 2102578940 |
| Mailing Telephone | 2102578863 |
| Mailing Fax Number | 2102578940 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | KARRIEM THURMAN (OWNER/DOCTOR) |
| Authorized Official Telephone | 2679735988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
3303 S WW WHITE RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78222-4829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316938590 | James E Miller | Podiatrist | 3303 S Ww White Rd, San Antonio, TX 78222-4829 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1801045257 | Perly Lee Sheffield | Case Manager/Care Coordinator | 5518 Elk Hunter Tr., San Antonio, TX 78222 | 2008-09-10 |
| 1689822447 | James Edward Williams | Family Medicine | 3859 E Southcross Blvd Ste C, San Antonio, TX 78222 | 2008-09-05 |
| 1508025693 | Southcross Surgical Center, LLC | Clinic/Center | 4025 E. Southcross, Bldg 3 Ste. 15, San Antonio, TX 78222 | 2008-06-04 |
| 1184839235 | Michael C Key | Dentist | 3875 E Southcross, Ste F, San Antonio, TX 78222 | 2007-05-11 |
| 1245359017 | Celia S Faz | Home Health Aide | 5511 Firestar Trail, San Antonio, TX 78222 | 2007-03-29 |
| 1730272501 | Best Fit Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 3859 E Southcross, Ste H, San Antonio, TX 78222 | 2006-10-02 |
| 1326150806 | Angela E Adams | Nurse Practitioner | 4243 E Southcross Blvd Ste 204, San Antonio, TX 78222 | 2006-08-31 |
| 1063435105 | Mark David Mutschink | Physical Therapist | 3875 E Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-07-26 |
| 1548210636 | Cameron Brent Elam | Physical Therapist | 3875 East Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-05-11 |
| Find all providers in zip 78222 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841714672 | San Antonio Endodontics Associates LLC | Dentist | 1110 Nw Loop 410, Suite 515, San Antonio, TX 78213 | 2017-08-02 |
| 1912366212 | Smile Workshop Alamo Ranch, Pllc | Dentist | 11282 Culebra Rd Ste 101, San Antonio, TX 78253-7329 | 2016-02-15 |
| 1902101256 | Christin Michelle Giacomino | Dentist | 13419 Orchard Ridge Dr, San Antonio, TX 78231-2210 | 2011-01-18 |
| 1366746596 | Elite Endodontics, P.C. | Dentist | 11901 Toepperwein Road, Suite 902, San Antonio, TX 78233-3161 | 2011-01-03 |
| 1558695569 | Giselle Cardenas Eitter | Dentist | 335 E Sonterra Blvd Ste 100, 100, San Antonio, TX 78258-4071 | 2009-09-23 |
| 1821232745 | Network Provider Associates, P.c | Dentist | 5619 W. Loop 1604 N., Suite 112, San Antonio, TX 78253-5795 | 2009-04-22 |
| 1881838928 | Network Provider Associates, P.C. | Dentist | 3111 Tpc Parkway, Suite 114, San Antonio, TX 78259-2398 | 2009-04-20 |
| 1033375928 | Dentistry of Brownsville, PC | Dentist | 3850 S. North Braunfels Avenue, Suite 101, San Antonio, TX 78223 | 2008-07-31 |
| 1932325834 | B. Aaron Vaughn | Dentist | 1019 Shook Ave, San Antonio, TX 78212-2508 | 2007-04-18 |
| 1942307798 | Liliana Maria Meeker | Dentist | 335 E Sonterra Blvd, Suite 100, San Antonio, TX 78258-4053 | 2006-09-20 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78222 |
Please comment or provide details below to improve the information on SOUTHEAST ENDODONTIC GROUP PC.
| 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.