Healthcare Provider Details

I. General information

NPI: 1013904275
Provider Name (Legal Business Name): DANIEL ALAN SAVETT DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 MEDICAL GROUP 221 THIRD STREET WEST, BLDG. 1040
JOINT BASE SAN ANTONIO-RANDOLPH TX
78150
US

IV. Provider business mailing address

3698 CHAMBERS PASS BLDG 3610
SAN ANTONIO TX
78234-7766
US

V. Phone/Fax

Practice location:
  • Phone: 210-539-2982
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN13574
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: