Individual provider · Type 1 NPI

Randolph A. Ibarra, DDS

General Practice Dentistry · San Antonio, TX

NPI number 1003878034 Active

Practice location

8744 Grissom Rd
San Antonio, TX 78251-4819

Call (210) 523-0000 Map

Fax (210) 523-0067

Mailing address

8355 Crestway Dr, 1126
Converse, TX 78109-3596

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X14645 (TX)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1003878034

Randolph A. Ibarra, DDS's National Provider Identifier is 1003878034, issued on Apr 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Antonio, TX. The record was last updated on Jul 8, 2007.