Organization
COMMERCE ST FAMILY DENTAL
Active
Other names
Commerce St Family Dental Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED GWINN BRADFORD JR. DDS (CEO PRESIDENT CHAIRMAN OF BOARD)
(210) 225-4867
Entity
Organization
Contact information
Practice address
2522 W COMMERCE ST, SAN ANTONIO, TX 78207
(210) 225-4867
(210) 225-5643
Mailing address
2522 W COMMERCE ST, SAN ANTONIO, TX 78207
(210) 225-4867
(210) 225-5643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87DO73
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/27/2006
Last updated
10/25/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us