IndividualActive
Jose Ibanez-Pabon, DMD
NPI 1417094962 · General Practice Dentistry · Bolling Afb, DC
Jose Ibanez-Pabon, DMD is a General Practice Dentistry provider in Bolling Afb, DC (NPI 1417094962).
Provider details
- NPI number
- 1417094962
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 21179 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
238 Brookley Ave
Bolling Afb, DC 20332-0701
Phone: (202) 767-5382
Fax: (202) 767-4091
Mailing address
5483 Ashleigh Rd
Fairfax, VA 22030-7269
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jose Ibanez-Pabon's NPI number?
- Jose Ibanez-Pabon's National Provider Identifier (NPI) is 1417094962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jose Ibanez-Pabon's specialty?
- Jose Ibanez-Pabon is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jose Ibanez-Pabon located?
- Jose Ibanez-Pabon's practice location on file with NPPES is 238 Brookley Ave, Bolling Afb, DC 20332-0701.
- What is Jose Ibanez-Pabon's phone number?
- The practice phone number listed in the NPPES registry for Jose Ibanez-Pabon is (202) 767-5382.
- Is Jose Ibanez-Pabon's NPI active?
- Yes — Jose Ibanez-Pabon's NPI (1417094962) 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.