Individual provider · Type 1 NPI

Tibebu Mekonnen Tsegga, DDS

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

NPI number 1528149358 Active

Practice location

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236

Call (615) 668-3322 Map

Other practice locations

  • 151 Bodin Cir, Travis Afb, CA 94535-1801 · (707) 423-7002

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X8585 (TN)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X28366 (TX)

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 1528149358

Tibebu Mekonnen Tsegga, DDS's National Provider Identifier is 1528149358, issued on Oct 18, 2006. 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 Jun 1, 2018.