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

Fredericksburg Square Dental, PLLC

Organization Pediatric Dentistry · NPI 1497127450

Fredericksburg Square Dental, PLLC is a Pediatric Dentistry in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
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

3949 Fredericksburg Rd
San Antonio, TX 78201-3231
Phone: (210) 326-5546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 22842 (TX)

Record details

NPI number1497127450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Keeton — President · (210) 500-7577
NPI enumeratedOctober 29, 2015
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024
Mailing address145 Ranch Dr, Boerne, TX 78015-8319

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