Katyleydis NA Del Pino Caro, DDS
Individual provider Active NPI General Practice Dentistry · Converse, TX
NPI 1134469356 · NPPES record last updated Feb 25, 2013
Key facts
- NPI
- 1134469356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 28625 (TX)
- Practice address
- 9205 FM 78
Apt 8204
Converse, TX 78109-2961 - Phone
- (702) 204-7445
- NPI assigned
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28625 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamo City Family Dentistry, PLLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28625 | TX | Yes |
Addresses
Primary practice location
9205 FM 78
Apt 8204
Converse, TX 78109-2961
Mailing address
9205 FM 78 Apt 8204
Converse, TX 78109-2961
Phone (702) 204-7445
Other providers in Converse, TX
- CVS Pharmacy Inc
- Ayriana Nichole Davis
- Krystle Nicole De la Rosa
- Christina Maria De Santiago
- Sarah Beth Dean
- Maria Ojeda Delagarza
- Jose de Jesus Arellano Delgadillo
- Dental Health Associates of Texas, PC
- Guy Anthony Desmond
- Megan Detry
All providers in Converse, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2013. 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.