NPI age
6 years
Enumerated 2019-08-15
● Active Type 2 · Organization
Subpart
Northeast Children'S Dentistry, Inc
Northeast Children'S Dentistry, Inc is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hay
Practice Coordinator
Last NPPES update
2023-11-27
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
6 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-08Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
21727 Ih 10 W Ste 203
San Antonio, TX 782572107
Mailing address
21727 Ih 10 W Ste 203
San Antonio, TX 782572107
Authorized official
Tracey Hay
Practice Coordinator
📞 2106546882
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00K78 | BLUE CROSS BLUE SHIELD |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Northeast Children's Dentistry-Dominion Crossing Location
Practice context
Single-site organization. Only one practice location on file.
Subpart of Northeast Children'S Dentistry, Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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