INGRAM MALL FDC PA
NPI 1992963136
Dentist in San Antonio, TX

Q: What is Ingram Mall Fdc PA's NPI number?

The NPI number for Ingram Mall Fdc PA is 1992963136. It was assigned to this organization in the NPPES registry on May 23, 2008.

Q: What is Ingram Mall Fdc PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 23, 2008

6301 N.W. LOOP 410, STE L1A, SAN ANTONIO, TX 78238(210) 354-4867(210) 681-6985 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ingram Mall Fdc Pa NPPES

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

INGRAM MALL FDC PA (NPI 1992963136) is a healthcare organization registered as a dentist in San Antonio, Texas and active in the NPI registry since May 2008. The organization lists Lynn Armstrong, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1992963136

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameINGRAM MALL FDC PA

Location Address6301 N.W. LOOP 410, STE L1ASan Antonio, TX 78238-3824

Mailing Address6301 N.w. Loop 410, Ste L1aSan Antonio, TX 78238-3824 · (210) 354-4867 · Fax (210) 681-6985

Phone(210) 354-4867

Fax(210) 681-6985

Organization SubpartNo

Authorized OfficialLynn ArmstrongRegional Manager · (505) 328-4867

Enumeration DateMay 23, 2008

✔ NPI 1992963136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 0008481

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

6301 N.W. LOOP 410, San Antonio, TX 78238

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ingram Mall Fdc PA's NPI number?

The NPI number for Ingram Mall Fdc PA is 1992963136. It was assigned to this organization in the NPPES registry on May 23, 2008.

Where is Ingram Mall Fdc PA located?

Ingram Mall Fdc PA is located at 6301 N.W. Loop 410 Ste L1a, San Antonio, TX 78238. The listed phone number is (210) 354-4867.

What is Ingram Mall Fdc PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Ingram Mall Fdc PA was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.