Individual provider · Type 1 NPI

Elliott Bermudez-Colon, DDS

Periodontics · Fort Sam Houston, TX

NPI number 1215032057 Active

Practice location

2940 Stanley Rd Ste 2375
Fort Sam Houston, TX 78234-2740

Mailing address

8322 Mojave Rd
San Antonio, TX 78254-2139

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2118 (PR)
Periodontics Primary 1223P0300X2118 (PR)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1215032057

Elliott Bermudez-Colon, DDS's National Provider Identifier is 1215032057, issued on Sep 14, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fort Sam Houston, TX. The record was last updated on May 5, 2023.