Individual provider · Type 1 NPI

Audrey Nicole Imperial

General Practice Dentistry · Jbsa - Lackland, TX

NPI number 1972137644 Active

Practice location

59 Dg Af Postgraduate Dental School, 2133 Pepperrell St Bldg 3352
Jbsa - Lackland, TX 78236-5313

Mailing address

1615 Truemper St
Lackland Afb, TX 78236-5511

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD010674 (AZ)

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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About NPI 1972137644

Audrey Nicole Imperial's National Provider Identifier is 1972137644, issued on Mar 2, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jbsa - Lackland, TX. The record was last updated on Jul 22, 2025.