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

Ideal Dental of Wilderness Oak PLLC

Organization Dentist · NPI 1376056986

Ideal Dental of Wilderness Oak PLLC is a Dentist in San Antonio, Texas. Registered with an NPI since 2017.

In the registry since
2017
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

23522 Wilderness Oak Ste 107
San Antonio, TX 78258-2409
Phone: (210) 591-0109
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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 number1376056986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sulman Ahmed — Ceo · (972) 361-0600
NPI enumeratedNovember 6, 2017
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023
Mailing addressPo Box 840925, Dallas, TX 75284-0925

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