Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ideal Dental of Alamo Ranch PLLC

Organization Dentist · NPI 1114411089

Ideal Dental of Alamo Ranch PLLC provides Dentist services in San Antonio, Texas. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12007 Alamo Ranch Pkwy Ste 122
San Antonio, TX 78253
Phone: (210) 504-2953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1114411089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Canava — Insurance Manager · (972) 361-0600
Other names Ideal Dental Of Alamo Ranch; Ideal Dental Of Alamo Ranch
NPI enumeratedJune 14, 2018
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020
Mailing addressPo Box 840925, Dallas, TX 75284-1438

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