OrganizationActive
De Zavala Modern Dentistry, PC
NPI 1104475185 · Dentist · San Antonio, TX
De Zavala Modern Dentistry, PC is a Dentist organization in San Antonio, TX (NPI 1104475185).
Provider details
- NPI number
- 1104475185
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Roberto Benavides, Owner(210) 740-0645
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
5215 De Zavala Rd Ste 103
San Antonio, TX 78249-2985
Phone: (210) 740-0645
Fax: (210) 757-4067
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- De Zavala Modern Dentistry
- Doing business as
- De Zavala Modern Dentistry
Registry dates
- Enumerated
- 2019-09-11
- Last updated
- 2022-02-11
- Certified
- 2022-02-11
Frequently asked questions
- What is De Zavala Modern Dentistry, PC's NPI number?
- De Zavala Modern Dentistry, PC's National Provider Identifier (NPI) is 1104475185, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is De Zavala Modern Dentistry, PC?
- De Zavala Modern Dentistry, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is De Zavala Modern Dentistry, PC located?
- De Zavala Modern Dentistry, PC's practice location on file with NPPES is 5215 De Zavala Rd Ste 103, San Antonio, TX 78249-2985.
- What is De Zavala Modern Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for De Zavala Modern Dentistry, PC is (210) 740-0645.
- Who is the authorized official for De Zavala Modern Dentistry, PC?
- The authorized official listed on De Zavala Modern Dentistry, PC's NPPES record is Roberto Benavides, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is De Zavala Modern Dentistry, PC's NPI active?
- Yes — De Zavala Modern Dentistry, PC's NPI (1104475185) is active in the NPPES registry as of the last update on 2022-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.