De Zavala Precision Smile Structure

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DE ZAVALA PRECISION SMILE STRUCTURE

Practice address

4422 De Zavala Rd
San Antonio, TX 78249-2013

Phone

(210) 572-2394

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Adam Smith, DDS

Title

Owner

Phone

(530) 415-5483

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1043989692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 W IH 10 STE217 PMB622",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "210-572-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 DE ZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492013",
            "telephone_number": "210-572-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE ZAVALA PRECISION SMILE STRUCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-415-5483",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharlene Dela Cruz De Vera, RN
• Sabina Remmers De Vries, LPC
• De Zavala Dentistry and Orthodontics PLLC
• De Zavala Medical Center
• De Zavala Modern Dentistry, PC
• Ron Deage, M.A.,LPC,LCDC,LMFT
• Samuel Thomas Deahl II, DMD
• Leonard E Deal, MD
• Anna Marie Dean, RD, LD
• Baylynn Dean, QMHP-CS

• 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 Dec 14, 2022; 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.