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

Polished Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1245171404

Polished Pediatric Dentistry is a Pediatric Dentistry in San Antonio, Texas. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

13772 Old Fm 471 W # 304
San Antonio, TX 78253-2001
Phone: (210) 200-3008
Fax: (210) 200-3009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1245171404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Ly — Pediatric Dentist · (210) 200-3008
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address13772 Old Fm 471 W # 304, San Antonio, TX 78253-2001

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