MEDICARE: GABRIEL SENTIES DDS MS PLLC

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31741	OTHER	TX	TEXAS BOARD OF DENTAL EXAMINERS

General Provider Information

NPI Number	:	1972138733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABRIEL SENTIES DDS MS PLLC

Provider Business Mailing Address
First Line	:	11153 WESTWOOD LOOP STE 204
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-6533
Country	:	US
Telephone Number	:	210-729-7255
Fax Number	:

Provider Business Practice Location Address
First Line	:	11153 WESTWOOD LOOP STE 204
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-6533
Country	:	US
Telephone Number	:	210-729-7255
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GABRIEL SENTIES-RAMIREZ
Credential	:	DDS, MS
Telephone Number	:	210-729-7255

Provider Enumeration Date	:	03/11/2020
Last Update Date	:	03/11/2020

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