Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ideal Dental of Alamo Ranch PLLC

Organization Dentist · NPI 1114411089

Ideal Dental of Alamo Ranch PLLC is a Dentist 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
Show map & directions

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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