NPI age
10 years
Enumerated 2016-02-10
● Active
Type 1 · Individual
DR. Kelly A Buoniconti, D.M.D.
Buoniconti is 1 of 730 dentist providers in San Antonio and 1 of 9237 in Texas.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-06-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 9237 active dentist providers in Texas.
NPI age
10 years
↓ 2 yr below median (12 yr)
State licenses
2 states
Top 93% — 7% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-02Enumerated in NPPES
2016
2026
Where they practice
Practice location
26112 Overlook Pkwy, Ste 1108
San Antonio, TX 782606051
Mailing address
4416 N Moody Ave
Chicago, IL 606303007
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new dentist providers have been added in San Antonio in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 9237 Dentist providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.