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

Fredericksburg Square Dental, PLLC

Organization Pediatric Dentistry · NPI 1497127450

Fredericksburg Square Dental, PLLC provides Pediatric Dentistry in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3949 Fredericksburg Rd
San Antonio, TX 78201-3231
Phone: (210) 326-5546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 22842 (TX)

Record details

NPI number1497127450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Keeton — President · (210) 500-7577
NPI enumeratedOctober 29, 2015
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024
Mailing address145 Ranch Dr, Boerne, TX 78015-8319

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