Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mission Plaza Dental PLLC

Organization General Practice Dentistry · NPI 1104110501

Mission Plaza Dental PLLC provides General Practice Dentistry in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
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

3454 Roosevelt Ave
San Antonio, TX 78214 Not confirmed with CMS for 15 years — call before visiting
Phone: (210) 546-1337
Fax: (210) 546-1348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22951 (TX)

Record details

NPI number1104110501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Scraver — Owner · (210) 546-1337
Other names Smile Structure
NPI enumeratedJune 2, 2011
Last updated in NPPESJune 2, 2011
Mailing address3454 Roosevelt Ave., San Antonio, TX 78214

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