OrganizationActive
Fredericksburg Square Dental, PLLC
NPI 1497127450 · Pediatric Dentistry · San Antonio, TX
Fredericksburg Square Dental, PLLC is a Pediatric Dentistry organization in San Antonio, TX (NPI 1497127450).
Provider details
- NPI number
- 1497127450
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- David Keeton, President(210) 500-7577
- License
- 22842 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
3949 Fredericksburg Rd
San Antonio, TX 78201-3231
Phone: (210) 326-5546
Street-level locationGet directions
Mailing address
145 Ranch Dr
Boerne, TX 78015-8319
Registry dates
- Enumerated
- 2015-10-29
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Frequently asked questions
- What is Fredericksburg Square Dental, PLLC's NPI number?
- Fredericksburg Square Dental, PLLC's National Provider Identifier (NPI) is 1497127450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fredericksburg Square Dental, PLLC?
- Fredericksburg Square Dental, PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Fredericksburg Square Dental, PLLC located?
- Fredericksburg Square Dental, PLLC's practice location on file with NPPES is 3949 Fredericksburg Rd, San Antonio, TX 78201-3231.
- What is Fredericksburg Square Dental, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fredericksburg Square Dental, PLLC is (210) 326-5546.
- Who is the authorized official for Fredericksburg Square Dental, PLLC?
- The authorized official listed on Fredericksburg Square Dental, PLLC's NPPES record is David Keeton, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fredericksburg Square Dental, PLLC's NPI active?
- Yes — Fredericksburg Square Dental, PLLC's NPI (1497127450) is active in the NPPES registry as of the last update on 2024-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.