MEDICARE: SUMMIT DENTAL CENTER, L.P.

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	1223G0001X	General Practice Dentistry	17989	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	193400000X	OTHER	TX	DENTAL

General Provider Information

NPI Number	:	1275920563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT DENTAL CENTER, L.P.

Provider Business Mailing Address
First Line	:	1812 DURHAM DR
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77007-2256
Country	:	US
Telephone Number	:	832-673-0999
Fax Number	:	281-657-2406

Provider Business Practice Location Address
First Line	:	3949 FREDERICKSBURG RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-3231
Country	:	US
Telephone Number	:	210-785-8555
Fax Number	:	210-785-8300

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. ESSA A KAWAJA SR.
Credential	:	DDS
Telephone Number	:	832-673-0999

Provider Enumeration Date	:	04/24/2015
Last Update Date	:	04/24/2015

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1972749703 — CARE FOR KIDS OF TEXAS, PLLC
Practice Location Address:

3949 FREDERICKSBURG RD
SAN ANTONIO, TX
78201-3231

Practice Phone: 210-785-8555
Practice Fax: 480-385-2397

1497127450 — FREDERICKSBURG SQUARE DENTAL, PLLC
Practice Location Address:

3949 FREDERICKSBURG RD
SAN ANTONIO, TX
78201-3231

Practice Phone: 210-326-5546
Practice Fax:

1740786698 — ARIEL MICHELLE MURRAY DDS
Practice Location Address:

3949 FREDERICKSBURG RD
SAN ANTONIO, TX
78201-3231

Practice Phone: 210-265-3361
Practice Fax:

1871147975 — DR. MADELINE JULES RODRIGUEZ DDS
Practice Location Address:

3949 FREDERICKSBURG RD
SAN ANTONIO, TX
78201-3231

Practice Phone: 432-208-9731
Practice Fax:

1093684169 — ONE STEP ONE FAMILY INSTITUTE, LLC
Practice Location Address:

24618 ARROW CYN
SAN ANTONIO, TX
78258-3231

Practice Phone: 956-954-8895
Practice Fax:

Directions to “SUMMIT DENTAL CENTER, L.P. ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.