Provider Demographics
NPI:1932426913
Name:POKORNEY, CELESTE G (DDS, DHSC)
Entity Type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:G
Last Name:POKORNEY
Suffix:
Gender:F
Credentials:DDS, DHSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 BABCOCK RD
Mailing Address - Street 2:#4106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1811
Mailing Address - Country:US
Mailing Address - Phone:512-431-6444
Mailing Address - Fax:
Practice Address - Street 1:119 ADAMS ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-1102
Practice Address - Country:US
Practice Address - Phone:512-431-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25312122300000X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics