OrganizationActive
Modern Dental Professionals San Antonio PC
NPI 1720158496 · Dentist · San Antonio, TX
Modern Dental Professionals San Antonio PC is a Dentist organization in San Antonio, TX (NPI 1720158496).
Provider details
- NPI number
- 1720158496
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Marcus Ervin, Owner(210) 653-4867
- License
- 20569 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
17700 San Pedro Ave
Suite 320
San Antonio, TX 78232-1404
Phone: (210) 495-6255
Fax: (210) 495-6260
Street-level locationGet directions
Mailing address
8415 Datapoint Dr
San Antonio, TX 78229-3298
Other names (DBA / former)
- Doing business as
- Castle Dental
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2016-12-07
Frequently asked questions
- What is Modern Dental Professionals San Antonio PC's NPI number?
- Modern Dental Professionals San Antonio PC's National Provider Identifier (NPI) is 1720158496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dental Professionals San Antonio PC?
- Modern Dental Professionals San Antonio PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Modern Dental Professionals San Antonio PC located?
- Modern Dental Professionals San Antonio PC's practice location on file with NPPES is 17700 San Pedro Ave, San Antonio, TX 78232-1404.
- What is Modern Dental Professionals San Antonio PC's phone number?
- The practice phone number listed in the NPPES registry for Modern Dental Professionals San Antonio PC is (210) 495-6255.
- Who is the authorized official for Modern Dental Professionals San Antonio PC?
- The authorized official listed on Modern Dental Professionals San Antonio PC's NPPES record is Marcus Ervin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dental Professionals San Antonio PC's NPI active?
- Yes — Modern Dental Professionals San Antonio PC's NPI (1720158496) is active in the NPPES registry as of the last update on 2016-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.