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

Polished Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1245171404

Polished Pediatric Dentistry provides Pediatric Dentistry in San Antonio, Texas. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

13772 Old Fm 471 W # 304
San Antonio, TX 78253-2001
Phone: (210) 200-3008
Fax: (210) 200-3009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1245171404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Ly — Pediatric Dentist · (210) 200-3008
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address13772 Old Fm 471 W # 304, San Antonio, TX 78253-2001

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