P Praxis·MD
● Active Type 1 · Individual

DR. Bollamma Poonacha Puchimada, BDS, MSD

Dentist·San Antonio, TX· NPI 1629578414 · Enumerated 2018 · 8 years on NPI
Puchimada is 1 of 175 dentist providers in San Antonio and 1 of 1797 in Texas.
NPI age
8 years
Enumerated 2018-02-18
Primary specialty
Dentist
Licensed in
MI
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-02-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1797 active dentist providers in Texas.

NPI age
8 years
↓ 6 yr below median (14 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-02Enumerated in NPPES
2018 2026

Where they practice

Practice location
8839 Culebra Rd Ste 105
San Antonio, TX 782514825
📞 2107626778
Mailing address
2517 Oak Valley Dr Apt 205
Ann Arbor, MI 481038603
📞 5084462707

Specialties

  • Dentist Primary
    An 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.
    MI license #2901022163 taxonomy 1223P0221X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in San Antonio in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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