Derek Ibarra, DDS is a student in an organized health care education training program in Roanoke, VA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Derek Ibarra, DDS NPI is 1083119374. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2017 SOUTH JEFFERSON ST
ROANOKE, VA
ZIP 24014
Phone: (540) 981-7128
The NPI 1083119374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 3/28/2018 and was last updated on 3/28/2018.