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

Northeast Children's Dentistry, Inc

Organization Pediatric Dentistry · NPI 1245252238

Northeast Children's Dentistry, Inc is a Pediatric Dentistry in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8606 Village Dr Ste B
San Antonio, TX 78217-5506
Phone: (210) 654-6882
Fax: (210) 654-0036
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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 11694 (TX)

Record details

NPI number1245252238
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracey Hay — Practice Coordinator · (210) 654-6882
NPI enumeratedJuly 25, 2006
Last updated in NPPESAugust 15, 2019
Mailing address8606 Village Dr, Ste. B, San Antonio, TX 78217-5506

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