AQUA DENTAL INGRAM
NPI 1942584040
Dentist - General Practice in San Antonio, TX

Active since October 06, 2011
6064 INGRAM RD, SAN ANTONIO, TX 78238(972) 677-7845 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Aqua Dental Ingram NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AQUA DENTAL INGRAM (NPI 1942584040) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since October 2011. The organization lists Antonio Rivera, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1942584040
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAQUA INGRAM PLLC
Location Address6064 INGRAM RDSan Antonio, TX 78238-4402
Mailing Address6064 Ingram RdSan Antonio, TX 78238-4402 · (972) 677-7845
Organization SubpartNo
Authorized OfficialAntonio RiveraManaging Member · (972) 677-7845
Enumeration DateOctober 6, 2011
NPI 1942584040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
6064 INGRAM RD, San Antonio, TX 78238

Other Names 1

Doing Business AsAqua Dental Ingram

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
6064 INGRAM RD
SAN ANTONIO, TX 78238

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942584040, enumerated as an "organization" on October 06, 2011.

The provider is located at 6064 INGRAM RD SAN ANTONIO, TX 78238 and the phone number is (972) 677-7845.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.