NPI age
6 years
Enumerated 2019-08-16
● 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
4358 Thousand Oaks Dr
San Antonio, TX 782172102
Mailing address
4358 Thousand Oaks Dr
San Antonio, TX 782172102
Authorized official
Tracey Hay
Practice Coordinator
📞 2106546882
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Melissa Rosson, D.D.S. Dentist NPI 1083932081
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 (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Northeast Children's Dentistry- Northern Oaks
-
Northeast Children's Dentistry- Northern Oaks
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.