Organization · Type 2 NPI

Ingram Mall FDC PA

Dentist · San Antonio, TX

NPI number 1992963136 Active

Practice location

6301 N.w. Loop 410, Ste L1A
San Antonio, TX 78238-3824

Fax (210) 681-6985

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	0008481 (TX)

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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About NPI 1992963136

Ingram Mall FDC PA's National Provider Identifier is 1992963136, issued on May 23, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Antonio, TX. The record was last updated on May 23, 2008.