Individual provider · Type 1 NPI

Wongelawit Deldil Tadesse, DDS

General Practice Dentistry · Jbsa Lackland, TX

NPI number 1487359717 Active

Practice location

2133 Pepperrell St Bldg 3352
Jbsa Lackland, TX 78236-5313

Call (210) 292-0774 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X134917919926 (UT)

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 1487359717

Wongelawit Deldil Tadesse, DDS's National Provider Identifier is 1487359717, issued on Apr 4, 2023. 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 Jul 13, 2026.