Ibrahim Irawan DDS

Ibrahim Irawan DDS is a healthcare organization registered as Dentist in Glendora, CA, holding Type 2 (organization) NPI 1093055980 since 2013. The authorized official on file is Ibrahim Irawan, Owner.

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NPI	1093055980
Entity type	Organization (Type 2)
Legal business name	Ibrahim Irawan DDS
Practice address	505 E ARROW HWY, Glendora, CA, 91740
Phone	6263352899
Enumeration date	2013-02-28
Last updated in NPPES	2014-12-05

Authorized official

Name	Ibrahim Irawan
Title	Owner
Phone	6263352899

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
122300000X	Dentist	Primary	37119	CA

Copy-ready billing details

Provider: Ibrahim Irawan DDS
NPI: 1093055980
Taxonomy: 122300000X (Dentist)
Address: 505 E ARROW HWY, Glendora, CA, 91740

Providers at this address

NPI	Name	Type	Specialty	Location
1083827976	Ibrahim Irawan	Individual	General Practice Dentistry	Glendora, CA

Verify this record

Cross-check NPI 1093055980 against the authoritative CMS record: view Ibrahim Irawan DDS on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Ibrahim Irawan DDS located?

The practice location on file with NPPES is in Glendora, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-12-05. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-12-05.