Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225690308 Individual Practitioner Female Practitioner

Dr. Pamela Oluchi Ibeto , DDS

Dentist - General Practice • Houston, TX

Professional Overview & Biography Verified Profile Summary

Dr. Pamela Ibeto, DDS is a registered healthcare professional specializing in Dentist - General Practice in Houston, TX. Practice services are available at 6410 FANNIN ST STE 310 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6410 Fannin St Ste 310

Houston, TX 770303004

Telephone 7049064878

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
1389 Specialists

Practicing in Houston, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 36139

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
238638782 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
NPI 1043996283

Doctor of Dental Surgery

Dr. Paul Shane , DDS

Student in an Organized Health Care Education/Training Program

NPI 1134962343

Doctor of Dental Surgery

Blake Swonke

Dentist - General Practice

NPI 1144925942
NPI 1255258380
Dr. Brandon Barnett , DMD

Dentist - Endodontics

NPI 1265056477

Doctor of Dental Medicine

NPI 1275450215

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address February 01, 2021

Registered at 8132 KIRBY DR, HOUSTON, TX 770541706 (Tel: 7137979041)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2021

Dentist (License #36139 in TX)

NPI Profile Active June 28, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2019

Registered at 6410 FANNIN ST STE 310, HOUSTON, TX 770303004 (Tel: 7049064878)

📍
Updated Business Mailing Address June 28, 2019

Registered at 6410 FANNIN ST STE 310, HOUSTON, TX 770303004 (Tel: 7049064878)

👤
Provider Name / Credentials Updated June 28, 2019

Recorded as PAMELA IBETO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225690308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2019
Last Update: February 01, 2021
Sole Proprietor: Yes

Mailing Address

8132 Kirby Dr

Houston, TX 770541706

Phone: 7137979041

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.