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NPI Code Detail

MEDICARE: MY HOMETOWN DENTIST AT POTRANCO

MEDICARE: MY HOMETOWN DENTIST AT POTRANCO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1437816949
Entity Type Code : Organization
Provider Name (Legal Business Name) : MY HOMETOWN DENTIST AT POTRANCO
Provider Business Mailing Address
First Line : 24200 IH 10 W STE 112
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78257-1150
Country : US
Telephone Number : 808-646-1833
Fax Number : 210-687-1132
Provider Business Practice Location Address
First Line : 12370 POTRANCO RD STE 104
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-4261
Country : US
Telephone Number : 210-756-0616
Fax Number : 830-239-5670
Authorized Official
Title or Position : PRESIDENT
Name : DR. P. CHRISTOPHER BAYS
Credential : DDS
Telephone Number : 808-646-1833
Provider Enumeration Date : 11/18/2021
Last Update Date : 12/01/2021

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Directions to “MY HOMETOWN DENTIST AT POTRANCO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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