MEDICARE: DR. JAMES CHOLEWA 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
1	122300000X	Dentist	11083	TN

General Provider Information

NPI Number	:	1831735349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CHOLEWA DDS

Provider Business Mailing Address
First Line	:	3630 STANLEY RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78234-7697
Country	:	US
Telephone Number	:	630-338-6741
Fax Number	:

Provider Business Practice Location Address
First Line	:	3630 STANLEY RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78234-7697
Country	:	US
Telephone Number	:	630-338-6741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2019
Last Update Date	:	10/31/2022

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