Individual provider · Type 1 NPI

William Arthur Grosdidier

Oral and Maxillofacial Surgery (Dentist) · Jbsa Lackland, TX

NPI number 1447605886 Active

Practice location

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

Call (651) 468-9356 Map

Other practice locations

  • 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 · (651) 468-9356

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XD13681 (MN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD13681 (MN)

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 1447605886

William Arthur Grosdidier's National Provider Identifier is 1447605886, issued on May 3, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Mar 18, 2025.