Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alta Vista Dentistry PLLC

Organization Dentist · NPI 1053136432

Alta Vista Dentistry PLLC is a Dentist in San Antonio, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

405 W Gramercy Pl
San Antonio, TX 78212-2827
Phone: (210) 734-6556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1053136432
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marissa Mooney — Practice Manager · (210) 734-6556
NPI enumeratedNovember 20, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address405 W Gramercy Pl, San Antonio, TX 78212-2827

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