Provider Demographics
NPI:1528676053
Name:CALM SPRING DENTAL
Entity type:Organization
Organization Name:CALM SPRING DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:OBINNA
Authorized Official - Middle Name:
Authorized Official - Last Name:EJIKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-864-0272
Mailing Address - Street 1:11034 MILITARY DRIVE W, SUITE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4791
Mailing Address - Country:US
Mailing Address - Phone:210-864-0272
Mailing Address - Fax:
Practice Address - Street 1:11034 W MILITARY DRIVE
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-864-0272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental