South Park Family Dental Care Pa
Dental Office
2310 Sw Military Dr, Ste 406, San Antonio
Texas, 78224-1407
210-927-1400 210-927-6330
Maps & DirectionsSouth Park Family Dental Care Pa is a renowned Dental office in San Antonio, Texas. It is located at 2310 Sw Military Dr, Ste 406, San Antonio, TX and its contact number is 210-927-1400. The authorized person for South Park Family Dental Care Pa is Dr. Shiva Izaddoust
who is President of the place and their contact number is 210-927-1400.
South Park Family Dental Care Pa Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
South Park Family Dental Care Pa Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | South Park Family Dental Care Pa |
| Specialization: | Dentistry |
| Address: | 2310 Sw Military Dr, Ste 406, San Antonio,
Texas, 78224-1407 |
| Phone: | 210-927-1400 |
| Fax: | 210-927-6330 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Shiva Izaddoust |
| Position: | President |
| 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 South Park Family Dental Care Pa Office are as mentioned below.
| NPI Number: | 1467586768 |
| NPI Enumeration Date: | 16 Mar, 2007 |
| NPI Last Update On: | 24 May, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Park Family Dental Care Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the Office such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| G60126-3 | Other | Texas | Texas Chip |
| 0064GJ | Other | Texas | Blue Cross Blue Shield |
| 1300537 | Other | Texas | United Concordia |
| 0099152-01 | 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: | South Park Family Dental Care Pa
2310 Sw Military Dr, Ste 406
San Antonio, Texas |
| Zip: | 78224-1407 |
| Phone Number: | 210-927-1400 |
| Fax Number: | 210-927-6330 |
Patients can reach South Park Family Dental Care Pa at
2310 Sw Military Dr, Ste 406, San Antonio, Texas or can
call to book an appointment on 210-927-1400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.