NPI age
6 years
Enumerated 2019-09-10
● Active Type 2 · Organization
Reconstructive Dental Specialists Of Texas
Reconstructive Dental Specialists Of Texas is 1 of 401 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hijazi
Ceo
Last NPPES update
2020-04-14
Source: monthly bulk 2026-05
How this organization compares
Across 401 active dentist providers in Texas.
NPI age
6 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-09Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
235 E Hildebrand Ave Ste 200
San Antonio, TX 782122430
Mailing address
235 E Hildebrand Ave # 200
San Antonio, TX 782122430
Authorized official
Fawzi Hijazi, DDS
Ceo
📞 2108215316
Specialties
-
Dentist PrimaryThat branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Great Life Dental
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.