Universal Dental of San Antonio, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

UNIVERSAL DENTAL OF SAN ANTONIO, PLLC

Practice address

1652 Pat Booker Rd
Universal City, TX 78148-3433

Phone

(210) 658-4011

Fax

(210) 658-3471

NPI assigned

Nov 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Humam Al-Najjar, DDS

Title

Ceo

Phone

(210) 658-4011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1518503085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 PAT BOOKER RD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483433",
            "telephone_number": "210-658-4011",
            "fax_number": "210-658-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 PAT BOOKER RD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483433",
            "telephone_number": "210-658-4011",
            "fax_number": "210-658-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL DENTAL OF SAN ANTONIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "AL-NAJJAR",
        "authorized_official_first_name": "HUMAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-658-4011",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Steven Chavez Trevino, FNP-C
• Paulena Tufaro, RBT
• Dianalyn Ulep
• United Staffing Advantage, L
• Universal City Family Practice Center P.a.
• Michael Anthony Uribe
• Usv Optical Inc.
• Lee Vandertulip, BCBA
• Ulysses J Vargas, DDS
• Nancy Vasquez

• General Practice Dentistry in Universal City, TX
• Providers in Universal City, 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 Nov 20, 2019; 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.