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Active NPI 1134828841 Individual Practitioner Male Practitioner

Dr. Antonio Jose Roman , DDS

Dentist - General Practice • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Dr. Antonio Roman, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Antonio, TX. Practice services are available at 23714 HARDY OAK BLVD STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23714 Hardy Oak Blvd Ste 110

San Antonio, TX 782601960

Telephone 2106643479
Associated Practice Facility / Clinic
🏢 Dentists Of Stone Oak, Pc Facility NPI 1891262176

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.4 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
786 Specialists

Practicing in San Antonio, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 40656

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1326610338
Dr. Sandra Mar , DDS

Dentist - General Practice

NPI 1962263509

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 19, 2024

Registered at 23714 HARDY OAK BLVD STE 110, SAN ANTONIO, TX 782601960 (Tel: 2106643479)

👤
Provider Name / Credentials Updated June 19, 2024

Recorded as ANTONIO ROMAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2024

Dentist (License #40656 in TX)

✅
NPI Profile Active March 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2023

Registered at 8210 FLOYD CURL DR, SAN ANTONIO, TX 782293923 (Tel: 2104503700)

📍
Updated Business Mailing Address March 01, 2023

Registered at 4719 AUDUBON PL, SAN ANTONIO, TX 782175921 (Tel: 2143072487)

👤
Provider Name / Credentials Updated March 01, 2023

Recorded as ANTONIO ROMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2023

Dentist (License #D1266 in TX)

🟢
Initial NPI Registration & Enumeration March 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134828841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2023
Last Update: June 19, 2024
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4719 Audubon Pl

San Antonio, TX 782175921

Phone: 2143072487

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.