Provider Type Icon

AQUA INGRAM PLLC NPI 1942584040


NPI Information

NPI: 1942584040
Provider Name: AQUA INGRAM PLLC

Doing Business As: AQUA DENTAL INGRAM

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6064 INGRAM RD
SAN ANTONIO, TX
ZIP 78238
Phone: (972) 677-7845
Get Directions

AQUA INGRAM PLLC is a general practice dentist in San Antonio, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. AQUA INGRAM PLLC NPI is 1942584040. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aqua Dental Ingram.

The provider's business location address is:

6064 INGRAM RD
SAN ANTONIO, TX
ZIP 78238-402
Phone: (972) 677-7845

The provider's authorized official is Antonio Rivera .
The authorized official title is Managing Member and has the following contact phone number (972) 677-7845.

The enumeration date for this NPI number is 10/6/2011 and was last updated on 10/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryNo
21223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.