Centromed South Park Dental is a Dental Clinic in San Antonio, Texas. It is located at 910 Wagner Ave, San Antonio, TX and its contact number is 210-924-7344. The authorized person for Centromed South Park Dental is Chuck Walzel
who is Cfo of the clinic and their contact number is 210-334-3724. Other organizations associated with this clinic are El Centro Del Barrio Inc, El Centro Del Barrio, Inc., The primary license number for Centromed South Park Dental is HBOCS007758-04-00 (Federally Qualified Health Center (FQHC)) in Texas. Centromed South Park Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Centromed South Park Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Centromed South Park Dental
Specialization:
General Practice Dentistry
Clinic Address:
910 Wagner Ave, San Antonio, Texas, 78211-3213
Phone:
210-924-7344
Fax:
210-923-7929
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Chuck Walzel
Position:
Cfo
Contact Number:
210-334-3724
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Centromed South Park Dental clinic are as mentioned below.
NPI Number:
1497935233
NPI Enumeration Date:
09 Nov, 2007
NPI Last Update On:
01 Jun, 2012
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
El Centro Del Barrio Inc
General Practice Dentistry
1497935233
El Centro Del Barrio, Inc.
General Practice Dentistry
1811042567
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Centromed South Park Dental are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
HBOCS007758-04-00
Texas
Primary
General Practice
HBOCS00758-04-00
Texas
Secondary
Oral and Maxillofacial Surgery
HBOCS00758-04-00
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
120980103
Medicaid
Texas
00MT08
Other
Texas
Group Medicare
120980102
Medicaid
Texas
102980101
Medicaid
Texas
G60232-02
Other
Texas
Delta Dental
120980105
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Centromed South Park Dental 3750 Commercial Ave, San Antonio, Texas
Zip:
78221-3117
Phone Number:
210-334-3700
Fax Number:
210-922-0162
Patients can reach Centromed South Park Dental at 910 Wagner Ave, San Antonio, Texas or can call to book an appointment on 210-924-7344. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.