Organization Active NPI

Valudental SE Military PLLC

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1801441431
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VALUDENTAL SE MILITARY PLLC
Practice address
3611 SE Military Drive
Suite B101
San Antonio, TX 78223-3978
Phone
(210) 874-0000
Fax
(210) 978-5538
NPI assigned
Aug 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Peter K Gurr, DDS
Title
Provider/Owner
Phone
(210) 874-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3611 SE Military Drive
Suite B101
San Antonio, TX 78223-3978

Mailing address

3611 SE Military Drive
Suite B101
San Antonio, TX 78223-3978
Phone (210) 874-0000

Other names 1

  • CELEBRATE DENTAL AND BRACES Doing business as

National Provider Directory

National Provider Directory

Locations

3611 SE Military Dr
Ste B101
San Antonio, TX 78223
Phone (210) 404-4504

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1801441431",
    "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": "782233978",
            "telephone_number": "210-874-0000",
            "fax_number": "210-978-5538"
        },
        {
            "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": "782233978",
            "telephone_number": "210-874-0000",
            "fax_number": "210-978-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUDENTAL SE MILITARY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "GURR",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "210-874-0000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CELEBRATE DENTAL AND BRACES",
            "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 Apr 12, 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.