Great White Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREAT WHITE DENTAL PLLC

Doing business as

Great White Dental PLLC

Practice address

238 SW Military Dr Ste 104
San Antonio, TX 78221-1657

Phone

(210) 853-5600

Fax

(833) 790-3376

NPI assigned

Oct 2, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alejandro Martinez Alvarado, DDS

Title

Dentist

Phone

(210) 853-5600

Specialties & licenses 1

Addresses

Other names 1

• Great White Dental PLLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1013558998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 SW MILITARY DR STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211657",
            "telephone_number": "210-853-5600",
            "fax_number": "833-790-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SW MILITARY DR STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211657",
            "telephone_number": "210-853-5600",
            "fax_number": "833-790-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT WHITE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ ALVARADO",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-853-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great White Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.