Provider Demographics
NPI:1730124694
Name:CONTRERAS, CLAUDIA I (DDS)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:I
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 40397
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3900
Mailing Address - Country:US
Mailing Address - Phone:210-567-3274
Mailing Address - Fax:210-567-2844
Practice Address - Street 1:8210 FLOYD CURL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3923
Practice Address - Country:US
Practice Address - Phone:210-450-3500
Practice Address - Fax:210-567-2844
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF22516122300000X
TX225161223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
89D622OtherBCBS
TX178760802Medicaid
TX178760803Medicaid
TX178760804Medicaid
TX178760801Medicaid
TXF22516OtherTEXAS FACULTY LICENSE