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NPI Code Detail

MEDICARE: DR. SCOTT ALLEN HEBERT DDS

MEDICARE:  DR. SCOTT ALLEN HEBERT  DDS
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
11223P0221XPediatric Dentistry14060TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2840747OTHERTXBCBS FEDERAL EMPLOYEES
338644OTHERTXUNITED HEALTHCARE INS.
4695123OTHERTXUNITED CONCORDIA INSURANC
5007874OTHERTXDELTA INSURANCE

General Provider Information

NPI Number : 1932104783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT ALLEN HEBERT DDS
Provider Business Mailing Address
First Line : 2 DEERHURST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-6028
Country : US
Telephone Number : 210-922-3483
Fax Number : 210-598-5288
Provider Business Practice Location Address
First Line : 125 SW MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-1650
Country : US
Telephone Number : 210-922-3483
Fax Number : 210-598-5288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 10/09/2013

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Directions to “ DR. SCOTT ALLEN HEBERT DDS” Practice Location

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