Dominion Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DOMINION PEDIATRIC DENTISTRY PLLC

Doing business as

Dominion Pediatric Dentistry

Practice address

24165 Ih 10 W
Suite #121
San Antonio, TX 78257-1159

Phone

(210) 698-6143

NPI assigned

Dec 6, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Jamie Preece

Title

Office Manager

Phone

(210) 491-4141

Specialties & licenses 1

Addresses

Other names 1

• Dominion Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1841568813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 IH 10 W",
            "address_2": "SUITE #121",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571159",
            "telephone_number": "210-698-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24165 IH 10 W",
            "address_2": "SUITE #121",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571159",
            "telephone_number": "210-698-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "PREECE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-491-4141",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "Dominion Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Jamdar Dominguez, APRN, CPNP-AC
• Tamara Jeanne Dominguez, M.D.
• Dominion Care Management Group, LLC (Elara Caring)
• Dominion Family Healthcare PLLC
• Dominion Health Services, LLC
• Domus Lifecare,LLC (BrightStar)
• Don Test III, D.D.S., Inc. (DRS. Portales & Test)
• Clyde P Donahoe, PH.D.
• Nicole Donahue, LPC
• Donald a Hollsten MD PLLC

• 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 Dec 6, 2011; 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.