Individual provider · Type 1 NPI
John William Hultquist, DMD, MD
Oral and Maxillofacial Surgery (Dentist) · Lackland A F B, TX
Practice location
2200 Bergquist Dr, Suite 1
Lackland A F B, TX 78236-9907
Fax (210) 292-4946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 4705 (AL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1194710053
John William Hultquist, DMD, MD's National Provider Identifier is 1194710053, issued on Sep 16, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lackland A F B, TX. The record was last updated on Sep 13, 2010.