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

Mission Plaza Dental PLLC

Organization General Practice Dentistry · NPI 1104110501

Mission Plaza Dental PLLC is a General Practice Dentistry in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
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

3454 Roosevelt Ave
San Antonio, TX 78214
Phone: (210) 546-1337
Fax: (210) 546-1348
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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 · Licence 22951 (TX)

Record details

NPI number1104110501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Scraver — Owner · (210) 546-1337
Other names Smile Structure
NPI enumeratedJune 2, 2011
Last updated in NPPESJune 2, 2011
Mailing address3454 Roosevelt Ave., San Antonio, TX 78214

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