“Dentist” (Lackland Afb, TX)

Location: Lackland Afb, TX
Taxonomy: Dentist.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.

1053014704 — DR. KEVIN SHUM FUNG DMD

Practice Location Address:

59 DG- AF POSTGRADUATE DENTAL SCHOOL 2133 KLINKER STREET, BUILDING 3352
LACKLAND AFB TX
78236-5313

Practice Phone: 917-340-8205

1053014704 mobile

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1053303644 — DR. BRIAN PENTON DDS

Practice Location Address:

1615 TRUEMPER ST BLDG 6418
LACKLAND AFB TX
78236-5511

Practice Phone: 210-292-0694

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1225259393 — DR. JOSHUA MATTHEW HETHCOX D.D.S.

Practice Location Address:

2450 PEPPERRELL STREET
LACKLAND AFB TX
78236

Practice Phone: 210-292-3894

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1265644769 — DR. IGOR MARYANCHIK DDS

Practice Location Address:

2450 PEPPERRELL STREET 59DTS-MRDE
LACKLAND AFB TX
78236-5345

Practice Phone: 210-292-6705

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1275234882 — SHING YIU WONG

Practice Location Address:

DUNN DENTAL CLINIC BLDG 6418
LACKLAND AFB TX
78236

Practice Phone: 213-220-8946

1275234882 mobile

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1285400887 — DELBERT GEORGE OXBORROW DDS

Practice Location Address:

1615 TRUEMPER ST
LACKLAND AFB TX
78236-5511

Practice Phone: 210-292-0123

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1295474500 — DR. RACHEAL MARIE LONG DDS

Practice Location Address:

2133 PEPPERRELL ST BLDG 3352
LACKLAND AFB TX
78236-5313

Practice Phone: 210-292-9053

1295474500 mobile

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1306338652 — MASON CHARLES NIEMEYER D.D.S

Practice Location Address:

1100 WILFORD HALL LOOP
LACKLAND AFB TX
78236-5638

Practice Phone: 210-292-0995

1306338652 mobile

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1518189521 — JANEEN HUGHES

Practice Location Address:

2450 PEPPERRELL ST
LACKLAND AFB TX
78236-5345

Practice Phone: 210-292-6258

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1558986794 — TROY MONSON DDS

Practice Location Address:

1100 WILFORD HALL LOOP
LACKLAND AFB TX
78236-5638

Practice Phone: 210-292-7878

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1568434611 — DR. DENNIS CARL DIXON DDS

Practice Location Address:

220 BERQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND AFB TX
78236-5300

Practice Phone: 210-292-6707

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