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

Ingram Mall Fdcpa

Organization General Practice Dentistry · NPI 1073885729

Ingram Mall Fdcpa is a General Practice Dentistry in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012

Practice location Address checks out

6301 NW Loop 410 Ste L1A
San Antonio, TX 78238-3829
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

General Practice Dentistry (primary) Taxonomy 1223G0001X (TX)

Record details

NPI number1073885729
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cyndee Castillo — Office Manager · (210) 354-4867
NPI enumeratedJanuary 27, 2012
Last updated in NPPESJanuary 27, 2012
Mailing address6301 Nw Loop 410 Ste L1a, San Antonio, TX 78238-3829

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