Bigway Family Dental Pllc
Clinic/Center (Dental)

Address: 11930 U.s . Hwy. 90, West, Suite 106, San Antonio, TX 78252
Phone: 2405281096

Bigway Family Dental Pllc (NPI# 1902410699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1902410699
Entity Type Organization
Organization Name BIGWAY FAMILY DENTAL PLLC
Practice Address 11930 U.s . Hwy. 90, West
Suite 106
San Antonio
TX 78252
Practice Telephone 2405281096
Mailing Address 15014 Old Richmond Rd Apt 323
Sugar Land
TX 77498-1376
Mailing Telephone 2405281096
Authorized Official Name Dr. Ayodele Oluropo Ifarajimi (OWNER)
Authorized Official Telephone 2405281096
Authorized Official Credential DMD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-09-01
Last Update Date 2020-09-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QD0000X Clinic/Center · Dental Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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Office Location

Street Address 11930 U.S . HWY. 90, WEST
SUITE 106
City SAN ANTONIO
State TX
Zip Code 78252

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720688534 Barrio Comprehensive Family Health Care Center, Inc. Clinic/Center 11930 Us Highway 90, Suite 110, San Antonio, TX 78252 2020-10-30
1689156762 John A Presas Emergency Medical Technician, Basic 11326 Pecan Cyn, San Antonio, TX 78252 2018-09-05
1427564285 Quinn Rhea Thomas Specialist/Technologist 11960 Dragon Lane, San Antonio, TX 78252 2017-12-15
1851796841 Family Over Everything Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 11866 Luckey Vista, San Antonio, TX 78252 2014-11-03
1982009411 Reginald Smith Physician Assistant 6536 Cagnon Rd, San Antonio, TX 78252 2014-10-27
1497164503 Ken Vandewalle Dentist 6535 Cagnon Rd, San Antonio, TX 78252-2211 2014-08-04
1043615503 Steven Mercado Internal Medicine 6535 Cagnon Rd, San Antonio, TX 78252-2211 2014-10-27
1316540339 Lifeworks Services, LLC Behavior Analyst 7610 Ariel Hl, San Antonio, TX 78252-2250 2020-11-20
1881086452 Mercedes Mendoza Dental Hygienist 7615 Umbra Hts, San Antonio, TX 78252-2256 2015-02-19
1528339637 Bridging The Gap Pediatric Therapy Occupational Therapist 7646 Umbra Hts, San Antonio, TX 78252-2256 2012-01-20
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Competitor

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City SAN ANTONIO
Zip Code 78252

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.