Provider Demographics
NPI:1215436167
Name:BABCOCK DENTAL PARTNERS, PLLC
Entity type:Organization
Organization Name:BABCOCK DENTAL PARTNERS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCITERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-904-2888
Mailing Address - Street 1:6565 BABCOCK RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2345
Mailing Address - Country:US
Mailing Address - Phone:210-904-2888
Mailing Address - Fax:
Practice Address - Street 1:6565 BABCOCK RD STE 1
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2345
Practice Address - Country:US
Practice Address - Phone:210-904-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty