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

Geronimo Canyon Dentistry, PC

Organization General Practice Dentistry · NPI 1740127638

Geronimo Canyon Dentistry, PC is a General Practice Dentistry in San Antonio, Texas. Registered with an NPI since 2026.

In the registry since
2026
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

15489 Culebra Rd Ste 201
San Antonio, TX 78253-4602
Phone: (210) 512-1690
Fax: (210) 501-1686
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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 number1740127638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roberto Benavides — Owner · (210) 512-1690
Other names Geronimo Canyon Dentistry
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 28, 2026
Mailing addressPo Box 660041, Dallas, TX 75266-0041

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