Molina Clyde Dentistry, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOLINA CLYDE DENTISTRY, PLLC

Practice address

19298 Stone Oak Pkwy
Suite 1105
San Antonio, TX 78258-3393

Phone

(210) 749-8858

NPI assigned

Nov 4, 2013

Organization subpart

No

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

Authorized official

Name

Ibis Vanessa Molina-Clyde

Title

DDS

Phone

(210) 749-8858

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ibis Vanessa Clyde, DDS

  • Dentist
  • San Antonio, TX
  • NPI 1629246335
  NPD

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1780013391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19298 STONE OAK PKWY",
            "address_2": "SUITE 1105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19298 STONE OAK PKWY",
            "address_2": "SUITE 1105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583393",
            "telephone_number": "210-749-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA CLYDE DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "MOLINA-CLYDE",
        "authorized_official_first_name": "IBIS",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "210-749-8858"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Mokry, FNP-C
• Luigina Mokry, OTR,CHT
• Evan Mokwe, MD
• Jamie N Molbert, LPC
• Molden to Win
• Anjelica Molina
• Anthony J Molina, LCSW
• Arianna Molina
• Arturo Molina, MD
• Blanca Cantu Molina, MD

• 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 Nov 4, 2013; 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.