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

Bandera Modern Dentistry, PC

Organization Dentist · NPI 1184981433

Bandera Modern Dentistry, PC is a Dentist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9234 N Loop 1604 W Ste 121
San Antonio, TX 78249
Phone: (210) 681-1121
Fax: (210) 681-1321
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12406 (TX)

Record details

NPI number1184981433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Barnes — Dds- Owner · (210) 681-1121
Other names Bandera Modern Dentistry, Pc
NPI enumeratedApril 11, 2012
Last updated in NPPESJanuary 2, 2014
Mailing address17000 Red Hill Ave, Irvine, CA 92614-5626

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