Individual provider · Type 1 NPI

Alex A. Deperalta Jr., DDS

General Practice Dentistry · Lackland A F B, TX

NPI number 1043299696 Active

Practice location

2200 Bergquist Dr, Suite 1
Lackland A F B, TX 78236-9907

Call (210) 292-7876 Map

Fax (210) 292-7879

Mailing address

11 Mayborough Ln
San Antonio, TX 78257-1242

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X17410 (TX)
General Practice Dentistry 1223G0001X28853 (CA)

General Practice Dentistry: 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.

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About NPI 1043299696

Alex A. Deperalta Jr., DDS's National Provider Identifier is 1043299696, issued on Jan 12, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lackland A F B, TX. The record was last updated on Jul 13, 2026.