Organization Active NPI

MFD Dental, PA

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1194422386
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MFD DENTAL, PA
Practice address
15303 Huebner Rd Ste 17
San Antonio, TX 78248-0982
Phone
(210) 828-1392
Fax
(210) 829-1828
NPI assigned
Feb 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Dr. Barbara Arlene Macneill, DMDNPI 1831270875
Title
Secretary / Treasurer
Phone
(210) 828-1392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15303 Huebner Rd Ste 17
San Antonio, TX 78248-0982

Mailing address

303 E Hildebrand Ave Ste 1
San Antonio, TX 78212-2476
Phone (210) 828-1392

Other practice location 1

303 E Hildebrand Ave Ste 1
San Antonio, TX 78212-2476
Phone (210) 828-1392

Other names 2

  • Daggett Dental Care Doing business as
  • Matthew F. Daggett, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

303 E Hildebrand Ave
Ste 1
San Antonio, TX 78212
Phone (210) 828-1392

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1194422386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E HILDEBRAND AVE STE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122476",
            "telephone_number": "210-828-1392",
            "fax_number": "210-829-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 HUEBNER RD STE 17",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480982",
            "telephone_number": "210-828-1392",
            "fax_number": "210-829-1828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 E Hildebrand Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782122476",
            "country_code": "US",
            "telephone_number": "210-828-1392",
            "fax_number": "210-829-1828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MFD DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "MACNEILL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "SECRETARY / TREASURER",
        "authorized_official_telephone_number": "210-828-1392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daggett Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matthew F. Daggett, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.