# EMPIRE DENTAL

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1639633480
- **Authorized official:** SEEMA CHANDI (BUSSINESS MANAGER)
- **Authorized official phone:** (443) 944-6969

## Contact information

- **Practice address:** 1915 ROGERS ROAD, SAN ANTONIO, TX 78251-7825
- **Practice address phone:** (443) 944-6969
- **Mailing address:** 6307 GRANADA WAY, SAN ANTONIO, TX 78257-1733
- **Mailing address phone:** (443) 944-6969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2019
- **Last updated:** 01/25/2019