Individual provider · Type 1 NPI

Carlos R. Ibanez, DDS

Oral and Maxillofacial Surgery (Dentist) · Charlottesville, VA

NPI number 1154327005 Active

Practice location

1415 Rolkin Court, Suite 101
Charlottesville, VA 22911

Call (434) 295-0911 Map

Fax (434) 295-4139

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X0401412224 (VA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1154327005

Carlos R. Ibanez, DDS's National Provider Identifier is 1154327005, issued on Jun 24, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Charlottesville, VA. The record was last updated on Oct 17, 2018.