Autumn Heights Dental PLLC
Organization Active NPI Dental Clinic/Center · Converse, TX
NPI 1114644226 · NPPES record last updated Apr 22, 2023
Key facts
- NPI
- 1114644226
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- AUTUMN HEIGHTS DENTAL PLLC
- Practice address
- 7215 N. Loop 1604 E.
Unit 102
Converse, TX 78109 - Phone
- (210) 890-4909
- Fax
- (210) 890-4809
- NPI assigned
- Oct 20, 2022
- Organization subpart
- No
Authorized official
- Name
- Esha Shah, DDS
- Title
- Owner
- Phone
- (213) 440-2132
Practitioners 1
-
Krishna Malaviya, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
7215 N. Loop 1604 E.
Unit 102
Converse, TX 78109
Mailing address
1311 Muleshoe Pass
San Antonio, TX 78258-3443
Phone (210) 890-4909
Other providers in Converse, TX
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- Amazing Grace Over Texas LLC
- Amsaf Home Health Services Inc.
- Anna Michele Anderson
- Ashley'S Pink Paradise
- Awesome Healthcare Services LLC
- Norma Irene Ayala
- Robert Charles Ayres II
- Kaydee Bailey
- Brenda Baker
All providers in Converse, TX · Dental Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.