Access Dental of Commerce, P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ACCESS DENTAL OF COMMERCE, P.A.

Practice address

4622 West Commerce
Suite #105
San Antonio, TX 78237

Phone

(682) 365-9115

NPI assigned

Mar 15, 2010

Last updated

Mar 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tien Dinh Phan, DMD

Title

Owner

Phone

(682) 365-9115

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1275857625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 WEST COMMERCE",
            "address_2": "SUITE #105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78237",
            "telephone_number": "682-365-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 WEST COMMERCE",
            "address_2": "SUITE #105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78237",
            "telephone_number": "682-365-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DENTAL OF COMMERCE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "TIEN",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-365-9115",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.