Individual provider · Type 1 NPI
Brent Leslie Gilliland, DDS
General Practice Dentistry · Randolph Afb, TX
Practice location
12th Aeromedical-Dental Squadron, 221 3rd Street West
Randolph Afb, TX 78150-4801
Fax (210) 652-1368
Mailing address
540 Thoreau Trl
Schertz, TX 78154-1158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 13335 (TX) |
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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- Ronny Michael Simmons, DDSGeneral Practice Dentistry Randolph Afb, TX NPI 1629034277
- John Christian Davis, DDSGeneral Practice Dentistry Randolph Afb, TX NPI 1801018429
- Jay M. Rossell, DMDGeneral Practice Dentistry Randolph Afb, TX NPI 1982691267
About NPI 1902890676
Brent Leslie Gilliland, DDS's National Provider Identifier is 1902890676, issued on Sep 8, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Randolph Afb, TX. The record was last updated on Jul 13, 2026.