Individual provider · Type 1 NPI

Alan Conrad Dickerson, DDS

Periodontics · Jbsa Lackland, TX

NPI number 1649247123 Active

Practice location

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

Call (210) 292-0672 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X4330 (LA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1649247123

Alan Conrad Dickerson, DDS's National Provider Identifier is 1649247123, issued on Mar 3, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Dec 29, 2020.