Aqua Dental Ingram

LBN: Aqua Ingram Pllc
Aqua Dental Ingram is an health care organization with primary practice located at 6064 Ingram Rd , San Antonio TX 78238-4402. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty. Aqua Ingram Pllc can be contacted via phone (972) 677-7845, or through Rivera, Antonio via phone (972) 677-7845.

Contact Information

Primary practice address
6064 Ingram Rd San Antonio TX 78238-4402
Phone: (972) 677-7845
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Antonio
Phone: (972) 677-7845

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1942584040
LBN Legal business name Aqua Ingram Pllc
DBA Doing business as Aqua Dental Ingram
Authorized official Rivera, Antonio
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2011
Last updated Oct 6th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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