Provider Demographics
NPI:1811739675
Name:HILL COUNTRY CHILDREN'S DENTISTRY
Entity type:Organization
Organization Name:HILL COUNTRY CHILDREN'S DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:120-831-3240
Mailing Address - Street 1:2134 WINDING VW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-7238
Mailing Address - Country:US
Mailing Address - Phone:210-831-3240
Mailing Address - Fax:
Practice Address - Street 1:427 SINGING OAKS
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6508
Practice Address - Country:US
Practice Address - Phone:830-214-7334
Practice Address - Fax:830-214-7334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental