# ADVANCED DENTAL ARTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275289506
- **Authorized official:** DR. ANDRE THOMAS JONES DDS (OWNER)
- **Authorized official phone:** (210) 705-4030

## Contact information

- **Practice address:** 1901 BABCOCK RD STE 201, SAN ANTONIO, TX 78229-4546
- **Practice address phone:** (210) 734-5092
- **Practice address fax:** (210) 898-8435
- **Mailing address:** 1901 BABCOCK RD STE 201, SAN ANTONIO, TX 78229-4546
- **Mailing address phone:** (210) 734-5092
- **Mailing address fax:** (210) 898-8435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2022
- **Last updated:** 10/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1043851405 | — | TX |