OrganizationActive
Ibrahim Irawan DDS
NPI 1093055980 · Dentist · Glendora, CA
Ibrahim Irawan DDS is a Dentist organization in Glendora, CA (NPI 1093055980).
Provider details
- NPI number
- 1093055980
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ibrahim Irawan, Owner(626) 335-2899
- License
- 37119 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 E Arrow Hwy
Glendora, CA 91740-6034
Phone: (626) 335-2899
Street-level locationGet directions
Mailing address
505 E Arrow Hwy
Glendora, CA 91740-6034
Registry dates
- Enumerated
- 2013-02-28
- Last updated
- 2014-12-05
Frequently asked questions
- What is Ibrahim Irawan DDS's NPI number?
- Ibrahim Irawan DDS's National Provider Identifier (NPI) is 1093055980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ibrahim Irawan DDS?
- Ibrahim Irawan DDS is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Ibrahim Irawan DDS located?
- Ibrahim Irawan DDS's practice location on file with NPPES is 505 E Arrow Hwy, Glendora, CA 91740-6034.
- What is Ibrahim Irawan DDS's phone number?
- The practice phone number listed in the NPPES registry for Ibrahim Irawan DDS is (626) 335-2899.
- Who is the authorized official for Ibrahim Irawan DDS?
- The authorized official listed on Ibrahim Irawan DDS's NPPES record is Ibrahim Irawan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ibrahim Irawan DDS's NPI active?
- Yes — Ibrahim Irawan DDS's NPI (1093055980) is active in the NPPES registry as of the last update on 2014-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.