Randolph A. Ibarra, DDS
General Practice Dentistry · San Antonio, TX
Practice location
8744 Grissom RdSan Antonio, TX 78251-4819
- Phone
- (210) 523-0000
- Fax
- (210) 523-0067
NPI record
- NPI
- 1003878034
- Entity type
- Individual (Type 1)
- Enumeration date
- April 5, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
14645 | TX |
Mailing address
8355 Crestway Dr1126
Converse, TX 78109-3596
- Phone
- (210) 623-6112
About Dr. Ibarra
Randolph A. Ibarra, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8744 Grissom Rd, San Antonio, TX 78251-4819. The NPI number 1003878034 was assigned on April 5, 2006 and the record was last updated on July 8, 2007.
Dr. Ibarra lists a license in the registry: #14645 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Randolph A. Ibarra, DDS?
The NPI number is 1003878034.
What is the phone number of Dr. Ibarra?
The phone number listed for the practice location is (210) 523-0000.
Where is Dr. Ibarra located?
8744 Grissom Rd, San Antonio, TX 78251-4819.
What is the taxonomy code for Dr. Ibarra?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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