Individual provider · Type 1 NPI

Kraig Stephen Vandewalle, DDS, MS

General Practice Dentistry · Jbsa Lackland, TX

NPI number 1396710182 Active

Practice location

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638

Mailing address

1615 Truemper St
Jbsa Lackland, TX 78236-5511

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X14137 (TX)

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 1396710182

Kraig Stephen Vandewalle, DDS, MS's National Provider Identifier is 1396710182, issued on Feb 23, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Jan 27, 2021.