Active NPI 1609974989 Individual Practitioner Male Practitioner

Dr. Cedric Lee Alvarez , DDS

Dentist - General Practice • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Dr. Cedric Alvarez, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Antonio, TX. Practice services are available at 17230 AUTRY POND STE 115 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17230 Autry Pond Ste 115

San Antonio, TX 782472097

Telephone 2103967667

Fax 2103967556

Associated Practice Facility / Clinic

🏢 My Local Texas Dental Practice, Pllc Facility NPI 1215697073

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: 2020-11-11

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 22729

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1796880-04 (TX)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 11, 2020

Registered at 17230 AUTRY POND STE 115, SAN ANTONIO, TX 782472097 (Tel: 2103967667)

📍

Updated Business Mailing Address November 11, 2020

Registered at 17230 AUTRY POND STE 115, SAN ANTONIO, TX 782472097 (Tel: 2103967667)

✅

NPI Profile Active November 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2011

Registered at 7122 SAN PEDRO AVENUE, SUITE 100, SAN ANTONIO, TX 78216 (Tel: 2105411434)

📍

Updated Business Mailing Address November 09, 2011

Registered at 7122 SAN PEDRO AVENUE, SUITE 100, SAN ANTONIO, TX 78216 (Tel: 2105411434)

👤

Provider Name / Credentials Updated November 09, 2011

Recorded as CEDRIC ALVAREZ, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2011

Dentist (License #22729 in TX)

🟢

Initial NPI Registration & Enumeration September 20, 2006

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: 1609974989

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 20, 2006

Last Update: November 11, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

17230 Autry Pond Ste 115

San Antonio, TX 782472097

Phone: 2103967667

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.