Dental Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23703 Issued in TX

Legal business name

DENTAL DENTAL PLLC

Doing business as

Mr. Dentist

Practice address

11535 West Ave
San Antonio, TX 78213-1343

Phone

(210) 366-0100

Fax

(210) 366-0103

NPI assigned

May 19, 2012

Last updated

Jan 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Medhat G Bader, D.D.S.NPI 1881688109

Title

Owner

Phone

(210) 366-0100

Specialties & licenses 1

Addresses

Other names 1

• Mr. Dentist Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Medhat Gomaa Bader, DMD

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1881688109
  Authorized official Same address or phone

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358553600000",
    "number": "1972863314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11535 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131343",
            "telephone_number": "210-366-0100",
            "fax_number": "210-366-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11535 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131343",
            "telephone_number": "210-366-0100",
            "fax_number": "210-366-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-19",
        "last_updated": "2013-01-19",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "MEDHAT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-366-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mr. Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Densley, RN
• Alexandra Anzaldua Denson, PA-C
• Daniel Dent, MD
• Jennifer Lynn Dent
• Dental Care of San Antonio, PLLC (Dental Care of San Antonio)
• Dental Haus PLLC
• Dental Health Associates of Texas, PC (West Alamo Dental Care)
• Dental Health Associates of Texas, PC (Alliance Dental Center)
• Dental Health Associates of Texas, PC (Dental Care of Westover Hills)
• Dental Health Associates of Texas, PC (Wilderness Canyon Dental Care)

• 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 19, 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.