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

Pedram Doroudgar

Individual provider General Practice Dentistry · NPI 1710556402

Pedram Doroudgar is a General Practice Dentistry in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

8202 N Loop 1604 W Ste 101
San Antonio, TX 78249-2898
Phone: (210) 503-1604
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 37269 (TX)

Record details

NPI number1710556402
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2021
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address8202 N Loop 1604 W Ste 101, San Antonio, TX 78249-2898

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