Celebraces SE Military PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CELEBRACES SE MILITARY PLLC

Doing business as

Celebrate Dental and Braces

Practice address

3611 SE Military Drive
Suite B101
San Antonio, TX 78223

Phone

(210) 404-4504

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. David B Ferguson, DDS,CAGS

Title

Dentist/Owner

Phone

(210) 404-4450

Specialties & licenses 1

Addresses

Other names 1

• Celebrate Dental and Braces Doing business as

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1598310344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 SE MILITARY DRIVE",
            "address_2": "SUITE B101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-404-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 SE MILITARY DRIVE",
            "address_2": "SUITE B101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-404-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRACES SE MILITARY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "210-404-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,CAGS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebrate Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angel Celedon
• Brianna Celedon
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• Catherine Celeski

• Pediatric Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Dentistry in Texas

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