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

Reconstructive Dental Specialists of Texas

Organization Prosthodontics · NPI 1083263149

Reconstructive Dental Specialists of Texas is a Prosthodontics in San Antonio, Texas. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

235 E Hildebrand Ave Ste 200
San Antonio, TX 78212-2430
Phone: (210) 821-5316
Show map & directions

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

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X

Record details

NPI number1083263149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fawzi Hijazi — Ceo · (210) 821-5316
Other names Great Life Dental
NPI enumeratedSeptember 10, 2019
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020
Mailing address235 E Hildebrand Ave # 200, San Antonio, TX 78212-2430

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