Space City Pediatric Dentistry
Pediatric Dental Clinic
18174 Gulf Fwy Ste 100, Friendswood
Texas, 77546-2722
281-484-7732 888-397-0197
Maps & DirectionsSpace City Pediatric Dentistry is a Pediatric Dental Clinic in Friendswood, Texas. It is located at 18174 Gulf Fwy Ste 100, Friendswood, TX and its contact number is 281-484-7732. The authorized person for Space City Pediatric Dentistry is Bret A Ibarra
who is Owner of the clinic and their contact number is 281-484-7732. The primary license number for Space City Pediatric Dentistry is 10310 (Pediatric Dentistry) in Texas.
Space City Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Space City Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Space City Pediatric Dentistry |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 18174 Gulf Fwy Ste 100, Friendswood,
Texas, 77546-2722 |
| Phone: | 281-484-7732 |
| Fax: | 888-397-0197 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Bret A Ibarra |
| Position: | Owner |
| Contact Number: | 281-484-7732 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Space City Pediatric Dentistry clinic are as mentioned below.
| NPI Number: | 1487811659 |
| NPI Enumeration Date: | 16 May, 2008 |
| NPI Last Update On: | 30 Oct, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Space City Pediatric Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 10310 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 220062801 | Medicaid | Texas | |
| 009757801 | Medicaid | Texas | |
| 1487811659 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Space City Pediatric Dentistry
18174 Gulf Fwy Ste 100,
Friendswood, Texas |
| Zip: | 77546-2722 |
| Phone Number: | 281-484-7732 |
| Fax Number: | 281-484-8751 |
Patients can reach Space City Pediatric Dentistry at
18174 Gulf Fwy Ste 100, Friendswood, Texas or can
call to book an appointment on 281-484-7732.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.