IndividualActive
Igor Maryanchik, DDS
NPI 1265644769 · Dentist · Lackland Afb, TX
Igor Maryanchik, DDS is a Dentist provider in Lackland Afb, TX (NPI 1265644769).
Provider details
- NPI number
- 1265644769
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DS030703L (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2450 Pepperrell Street
59dts-Mrde
Lackland Afb, TX 78236-5345
Phone: (210) 292-6705
Approximate (ZIP-level) locationGet directions
Mailing address
659 Lynx Mountain
San Antonio, TX 78251
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2007-07-08
Frequently asked questions
- What is Igor Maryanchik's NPI number?
- Igor Maryanchik's National Provider Identifier (NPI) is 1265644769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Igor Maryanchik's specialty?
- Igor Maryanchik is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Igor Maryanchik located?
- Igor Maryanchik's practice location on file with NPPES is 2450 Pepperrell Street, Lackland Afb, TX 78236-5345.
- What is Igor Maryanchik's phone number?
- The practice phone number listed in the NPPES registry for Igor Maryanchik is (210) 292-6705.
- Is Igor Maryanchik's NPI active?
- Yes — Igor Maryanchik's NPI (1265644769) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.