Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bandera Modern Dentistry, PC

Organization Dentist · NPI 1184981433

Bandera Modern Dentistry, PC provides Dentist services in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9234 N Loop 1604 W Ste 121
San Antonio, TX 78249 Not confirmed with CMS for 12 years — call before visiting
Phone: (210) 681-1121
Fax: (210) 681-1321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12406 (TX)

Record details

NPI number1184981433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Barnes — Dds- Owner · (210) 681-1121
Other names Bandera Modern Dentistry, Pc
NPI enumeratedApril 11, 2012
Last updated in NPPESJanuary 2, 2014
Mailing address17000 Red Hill Ave, Irvine, CA 92614-5626

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