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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164880787

Dr. Kelly A Buoniconti, DMD is a Student in an Organized Health Care Education/Training Program in San Antonio, Texas. Practices as a sole proprietor. Licensed in Ohio and Texas.

Licensed in
OH, TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

26112 Overlook Pkwy Ste 1108
San Antonio, TX 78260-6051
Phone: (210) 293-0810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 31847 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RES.3571 (OH)

Record details

NPI number1164880787
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 10, 2016
Last updated in NPPESJune 7, 2016

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