Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MOBILE DENTAL MANAGEMENT, LLC
Active
Organization
MOBILE DENTAL MANAGEMENT, LLC
Active
Other names
Keen Dental Health
Organization subpart
No
Provider details
NPI number
Authorized official
PEGEEN MOIRA KRAMER MBA, MED (PRESIDENT)
(210) 569-2650
Entity
Organization
Contact information
Practice address
1813 GRANDSTAND DR, SAN ANTONIO, TX 78238-4701
(210) 569-2650
Mailing address
926 WINDMILL PALM, SAN ANTONIO, TX 78216-8004
(210) 569-2650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12325
TX
1223G0001X
General Practice Dentistry
Primary
6593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120877902
—
TX
05
—
167017602
—
TX
Enumeration date
05/12/2014
Last updated
05/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up