NPI age
7 years
Enumerated 2018-05-31
● Active Type 2 · Organization
San Pedro Avenue Kids Dental
San Pedro Avenue Kids Dental 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
Abrotsky
Credentialing Specialist
Last NPPES update
2019-12-11
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
7 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-05Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
17119 San Pedro Ave
San Antonio, TX 782322232
Mailing address
17119 San Pedro Ave
San Antonio, TX 782322232
Authorized official
Gina Abrotsky
Credentialing Specialist
📞 7206034788
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Cynthia Banker, D. D. S. Dentist NPI 1013948629
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.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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.