P Praxis·MD
● Active Type 1 · Individual

DR. Igor Maryanchik, DDS

Dentist·Lackland Afb, TX· NPI 1265644769 · Enumerated 2007 · 19 years on NPI
Maryanchik is 1 of 9 dentist providers in Lackland Afb and 1 of 9237 in Texas.
NPI age
19 years
Enumerated 2007-05-04
Primary specialty
Dentist
Licensed in
PA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 9237 active dentist providers in Texas.

NPI age
19 years
↑ 7 yr above median (12 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
2450 Pepperrell Street, 59dts-Mrde
Lackland Afb, TX 782365345
📞 2102926705
Mailing address
659 Lynx Mountain
San Antonio, TX 78251
📞 7035996416

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    PA license #DS030703L taxonomy 122300000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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