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

Dezavala Dental and Braces PLLC

Organization General Practice Dentistry · NPI 1194494708

Dezavala Dental and Braces PLLC is a General Practice Dentistry in San Antonio, Texas. Registered with an NPI since 2021.

In the registry since
2021
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

4519 Dezavala Rd
San Antonio, TX 78249
Phone: (210) 690-9221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1194494708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Olmos — Owner/ Doctor · (512) 268-3384
Other names Dezavala Dental And Braces; Dezavala Dental And Braces
NPI enumeratedSeptember 8, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing address4519 Dezavala Road, San Antonio, TX 78249

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