Individual provider · Type 1 NPI

Michael Mosur, DMD

General Practice Dentistry · Lackland A F B, TX

NPI number 1366412082 Active

Practice location

2200 Bergquist Dr, Attn: Credentials (cmc)
Lackland A F B, TX 78236-9907

Call (210) 292-6707 Map

Fax (210) 292-7964

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X17613 (MA)

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 1366412082

Michael Mosur, DMD's National Provider Identifier is 1366412082, issued on Jan 25, 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.