Individual provider · Type 1 NPI

Stephen Richard Gasparovich, DDS

Pediatric Dentistry · Jbsa Lackland, TX

NPI number 1699737825 Active

Practice location

1615 Truemper St
Jbsa Lackland, TX 78236-5511

Mailing address

2133 Klinker Street, Bldg 3352, Air Force Postgraduate Dental School
Jbsa Lackland, TX 78236-5313

Other practice locations

  • 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 · (210) 976-5586

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X30022122 (OH)
Pediatric Dentistry Primary 1223P0221X33675 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

23 other providers at this address

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About NPI 1699737825

Stephen Richard Gasparovich, DDS's National Provider Identifier is 1699737825, issued on Apr 4, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Jun 26, 2026.