Evodent Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EVODENT DENTAL PLLC

Practice address

18838 Stone Oak Pkwy Ste 102
San Antonio, TX 78258-4179

Phone

(210) 442-8776

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Cristian Alexandru Blejan, DDS

Title

Owner

Phone

(210) 442-8776

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1972133767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18838 STONE OAK PKWY STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584179",
            "telephone_number": "210-442-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18838 STONE OAK PKWY STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584179",
            "telephone_number": "210-442-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVODENT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "BLEJAN",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_middle_name": "ALEXANDRU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-442-8776",
        "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": []
}

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• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, 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 Jan 21, 2020; 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.