Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730666595 Individual Practitioner Male Practitioner

Dr. Mina Botros , DDS

Dentist - General Practice • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mina Botros, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Antonio, TX. Practice services are available at 9234 N LOOP 1604 W STE 121 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9234 N Loop 1604 W Ste 121

San Antonio, TX 782492984

Telephone 2106811121
Associated Practice Facility / Clinic
🏢 Bandera Modern Dentistry, Pc Facility NPI 1184981433

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: 2023-05-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 39190

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 102674

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.

Secondary Practice Locations

755 W Rancho Vista Blvd

Palmdale, CA 935513735

Phone: 6612657800

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. David Keeton , DMD

Dentist - Pediatric Dentistry

NPI 1073772687

Doctor of Dental Medicine

Catherine Garza

Dentist - General Practice

NPI 1124571740
Dr. Roberto Benavides , DDS

Dentist - General Practice

NPI 1154706836

Doctor of Dental Surgery

Oscar Miranda

Dentist - General Practice

NPI 1225739642
Dr. Christopher Vogt , DDS

Dentist - General Practice

NPI 1689014029

Doctor of Dental Surgery

NPI 1750080933

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 03, 2023

Registered at 9234 N LOOP 1604 W STE 121, SAN ANTONIO, TX 782492984 (Tel: 2106811121)

📍
Updated Business Mailing Address May 03, 2023

Registered at 25051 W INTERSTATE 10 APT 6108, SAN ANTONIO, TX 782579018 (Tel: 8189300584)

NPI Profile Active July 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2018

Registered at 755 W RANCHO VISTA BLVD, PALMDALE, CA 935513735 (Tel: 6612657800)

📍
Updated Business Mailing Address July 24, 2018

Registered at 6601 WOODLEY AVE UNIT 10, VAN NUYS, CA 914065896 (Tel: 8189300584)

👤
Provider Name / Credentials Updated July 24, 2018

Recorded as MINA BOTROS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2018

Dentist (License #102674 in CA)

🟢
Initial NPI Registration & Enumeration July 24, 2018

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: 1730666595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2018
Last Update: May 03, 2023
Sole Proprietor: No

Mailing Address

25051 W Interstate 10 Apt 6108

San Antonio, TX 782579018

Phone: 8189300584

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.