Individual provider · Type 1 NPI

Corey Rawlins Anderson, D.S.S., M.S.

Periodontics · Jbsa Lackland, TX

NPI number 1932183282 Active

Practice location

1615 Truemper St Bldg 6418
Jbsa Lackland, TX 78236-5511

Call (757) 913-2847 Map

Mailing address

381 Trs, Bldg 903
Fort Sam Houston, TX 78234

Other practice locations

  • 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 · (210) 652-8544

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X4736830-9922 (UT)

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.

6 other providers at this address

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About NPI 1932183282

Corey Rawlins Anderson, D.S.S., M.S.'s National Provider Identifier is 1932183282, issued on Nov 30, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Jul 20, 2023.