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

Ingram Mall Fdc PA

Organization Dentist · NPI 1992963136

Ingram Mall Fdc PA is a Dentist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6301 N.w Loop 410 Ste L1A
San Antonio, TX 78238-3824
Phone: (210) 354-4867
Fax: (210) 681-6985
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0008481 (TX)

Record details

NPI number1992963136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynn Armstrong — Regional Manager · (505) 328-4867
NPI enumeratedMay 23, 2008
Last updated in NPPESMay 23, 2008
Mailing address6301 N.W. Loop 410, Ste L1a, San Antonio, TX 78238-3824

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