OrganizationActive
Mission Plaza Dental PLLC
NPI 1104110501 · General Practice Dentistry · San Antonio, TX
Mission Plaza Dental PLLC is a General Practice Dentistry organization in San Antonio, TX (NPI 1104110501).
Provider details
- NPI number
- 1104110501
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Andrew Scraver, Owner(210) 546-1337
- License
- 22951 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3454 Roosevelt Ave.
San Antonio, TX 78214
Phone: (210) 546-1337
Fax: (210) 546-1348
Street-level locationGet directions
Mailing address
3454 Roosevelt Ave.
San Antonio, TX 78214
Other names (DBA / former)
- Doing business as
- Smile Structure
Registry dates
- Enumerated
- 2011-06-02
- Last updated
- 2011-06-02
Frequently asked questions
- What is Mission Plaza Dental PLLC's NPI number?
- Mission Plaza Dental PLLC's National Provider Identifier (NPI) is 1104110501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mission Plaza Dental PLLC?
- Mission Plaza Dental PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mission Plaza Dental PLLC located?
- Mission Plaza Dental PLLC's practice location on file with NPPES is 3454 Roosevelt Ave., San Antonio, TX 78214.
- What is Mission Plaza Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mission Plaza Dental PLLC is (210) 546-1337.
- Who is the authorized official for Mission Plaza Dental PLLC?
- The authorized official listed on Mission Plaza Dental PLLC's NPPES record is Andrew Scraver, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mission Plaza Dental PLLC's NPI active?
- Yes — Mission Plaza Dental PLLC's NPI (1104110501) is active in the NPPES registry as of the last update on 2011-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.