National Provider Identifier Database

CROWNRIDGE DENTAL
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

CROWNRIDGE DENTAL
6827 CAMP BULLIS RD STE 302
SAN ANTONIO, TX78256-1730
Phone: 210-538-7500
Fax: 210-569-7750
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for CROWNRIDGE DENTAL

NPI Number 1962028142
Legal business name
LBN
CROWNRIDGE DENTAL
Authorized official CHRISTIAN PHAM - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/23/2020
Last updated 06/23/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CROWNRIDGE DENTAL

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