Organization · Type 2 NPI

Ideal Dental of Alamo Ranch PLLC

Dentist · San Antonio, TX

NPI number 1114411089 Active

Practice location

12007 Alamo Ranch Pkwy, Ste 122
San Antonio, TX 78253

Call (210) 504-2953 Map

Mailing address

PO Box 840925
Dallas, TX 75284-1438

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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NPI record

NPI: 1114411089
Entity type: Organization (Type 2)
Issued: Jun 14, 2018
Last updated: Jan 2, 2020
Status: Active

Other names

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Ideal Dental of Alamo Ranch · doing business as
Ideal Dental of Alamo Ranch · doing business as

Authorized official

Carol Canava
Insurance Manager
(972) 361-0600

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114411089

Ideal Dental of Alamo Ranch PLLC's National Provider Identifier is 1114411089, issued on Jun 14, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Antonio, TX. The record was last updated on Jan 2, 2020.