# UTHSCSA DENTAL SCHOOL

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

## Provider details

- **NPI number:** 1750403887
- **Authorized official:** DR. WILLIAM DODGE DDS (DENTAL SCHOOL VICE DEAN)
- **Authorized official phone:** (210) 567-3268

## Contact information

- **Practice address:** 7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
- **Practice address phone:** (210) 567-3274
- **Practice address fax:** (210) 567-2844
- **Mailing address:** PO BOX 40397, SAN ANTONIO, TX 78229-1397
- **Mailing address phone:** (210) 567-3274
- **Mailing address fax:** (210) 567-2844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 10/11/2007