Individual
DR. B.D. TINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
4499 MEDICAL DR, SUITE 190, SAN ANTONIO, TX 78229-3735
(210) 614-3915
(210) 614-3918
Mailing address
4499 MEDICAL DR, SUITE 190, SAN ANTONIO, TX 78229-3735
(210) 614-3915
(210) 614-3918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D14135
TX
1223G0001X
General Practice Dentistry
H1916
TX
1223P0106X
Oral and Maxillofacial Pathology Dentistry
D14135
TX
1223P0106X
Oral and Maxillofacial Pathology Dentistry
H1916
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D14135
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
H1916
TX
1223X0008X
Oral and Maxillofacial Radiology Dentistry
D14135
TX
1223X0008X
Oral and Maxillofacial Radiology Dentistry
H1916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079997501
—
TX
05
—
079997502
—
TX
Enumeration date
03/07/2006
Last updated
02/26/2008
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