Organization
LUCID DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFINI STRATTON DDS (OWNER)
(210) 269-3195
Entity
Organization
Contact information
Practice address
2105 SIDNEY BAKER ST STE 200, KERRVILLE, TX 78028-2563
(210) 899-6730
(833) 776-0625
Mailing address
8435 WURZBACH RD STE 302, SAN ANTONIO, TX 78229-3374
(210) 899-6730
(833) 776-0625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
04/20/2026
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