SOUTH PARK FAMILY DENTAL CARE PA – Dental Clinic/Center, NPI 1467586768

SOUTH PARK FAMILY DENTAL CARE PA is a healthcare provider. based in San antonio, Texas. specializing in Dental Clinic/Center. The NPI Number for SOUTH PARK FAMILY DENTAL CARE PA is 1467586768

Main info

Organization
Name
SOUTH PARK FAMILY DENTAL CARE PA
NPI
1467586768
Phone
(210) 927-1400
Address
2310 SW MILITARY DR
Authorized Official
DR. SHIVA IZADDOUST PRESIDENT D.D.S.
Enumeration Date
16 March 2007
Last Update Date
24 May 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for SOUTH PARK FAMILY DENTAL CARE PA

  • 2310 SW MILITARY DR

    STE 406

    SAN ANTONIO, TX 782241407

    Phone: (210) 927-1400

    Fax: (210) 927-6330

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78224)

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Reviews

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Frequently asked questions

How do payers reference SOUTH PARK FAMILY DENTAL CARE PA?
For SOUTH PARK FAMILY DENTAL CARE PA, use NPI 1467586768 as the unique 10-digit identifier.
Active or inactive — what applies to SOUTH PARK FAMILY DENTAL CARE PA?
You should see SOUTH PARK FAMILY DENTAL CARE PA as active in CMS-hosted NPPES data.
What kind of doctor is SOUTH PARK FAMILY DENTAL CARE PA?
SOUTH PARK FAMILY DENTAL CARE PA is associated with Dental Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
Is SOUTH PARK FAMILY DENTAL CARE PA associated with San Antonio?
Public fields place SOUTH PARK FAMILY DENTAL CARE PA around San Antonio, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SOUTH PARK FAMILY DENTAL CARE PA is noted as March 16, 2007 where the registry provides it.

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