IndividualActive
Ana Lavermicocca
NPI 1144743543 · Pediatric Dentistry · San Antonio, TX
Provider details
- NPI number
- 1144743543
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 33278 (TX)
Specialties & taxonomies
Dental Providers
Practice location
125 Sw Military Dr
San Antonio, TX 78221-1650
Phone: (210) 922-3483
Approximate (ZIP-level) locationGet directions
Mailing address
17903 Camino Grande
San Antonio, TX 78257-5007
Registry dates
- Enumerated
- 2017-07-18
- Last updated
- 2017-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.