Sp Administration is a Dental Clinic in San Antonio, Texas. This organization is also known as sub part of Southpark Family Dental Care. It is located at 6510 Babcock Rd, Suite 106, San Antonio, TX and its contact number is 210-558-7000. The authorized person for Sp Administration is Dr. Shiva Izaddoust
who is Owner of the clinic and their contact number is 210-927-1400. The primary license number for Sp Administration is 17028 (Dentist) in Texas.
Sp Administration Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Sp Administration Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Sp Administration |
| Specialization: | Dentistry |
| Clinic Address: | 6510 Babcock Rd, Suite 106, San Antonio,
Texas, 78249 |
| Phone: | 210-558-7000 |
| Fax: | 210-558-7001 |
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: | Dr. Shiva Izaddoust |
| Position: | Owner |
| Contact Number: | 210-927-1400 |
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 Sp Administration clinic are as mentioned below.
| NPI Number: | 1720526163 |
| Parent Organization: | Southpark Family Dental Care |
| NPI Enumeration Date: | 06 Feb, 2017 |
| NPI Last Update On: | 06 Feb, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sp Administration are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 17028 | Texas | Primary | |
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 |
| 136343411 | 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: | Sp Administration
6510 Babcock Rd, Suite # 106
San Antonio, Texas |
| Zip: | 78249 |
| Phone Number: | 210-558-7000 |
| Fax Number: | 210-558-7001 |
Patients can reach Sp Administration at
6510 Babcock Rd, Suite 106, San Antonio, Texas or can
call to book an appointment on 210-558-7000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.