MEDICARE: MARKEANNE LASHA PENDLETON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	126800000X	Dental Assistant

General Provider Information

NPI Number	:	1821695776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARKEANNE LASHA PENDLETON

Provider Business Mailing Address
First Line	:	1811 ARMY BLVD STE 2018
Second Line	:
City	:	JBSA FT SAM HOUSTON
State	:	TX
Zip	:	78234-2686
Country	:	US
Telephone Number	:	210-221-0829
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 ARMY BLVD STE 2018
Second Line	:
City	:	JBSA FT SAM HOUSTON
State	:	TX
Zip	:	78234-2686
Country	:	US
Telephone Number	:	210-221-0829
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2020
Last Update Date	:	05/25/2022

Similar Medicare Providers

1104850817 — DR. PETER NOEL VINCENT DROUILLARD DDS
Practice Location Address:

1811 ARMY BLVD STE 2018
JBSA FT SAM HOUSTON, TX
78234-2686

Practice Phone: 210-221-0835
Practice Fax:

1326334269 — DR. KOURTNEY REGINA LOGAN DDS
Practice Location Address:

1811 ARMY BLVD
JBSA FT SAM HOUSTON, TX
78234-2686

Practice Phone: 210-221-0826
Practice Fax:

1487039871 — STEPHEN STANFORD DDS
Practice Location Address:

1811 ARMY BLVD
JBSA FT SAM HOUSTON, TX
78234-2686

Practice Phone: 210-295-4156
Practice Fax:

1154706539 — DR. DEREK LEE O'CONNELL D.M.D.
Practice Location Address:

1811 ARMY BLVD
JBSA FT SAM HOUSTON, TX
78234-2686

Practice Phone: 210-808-3736
Practice Fax:

1508298225 — DR. GIANG HOANG LE D.D.S.
Practice Location Address:

1811 ARMY BOULE , US ARMY DENTAL ACTIVITY FT. SAM HOUSTON
SAM HOUSTON, TX
78234-2686

Practice Phone: 714-642-2847
Practice Fax:

1992755078 — DR. DALE ARTHUR NICHOLS D.D.S.
Practice Location Address:

1811 ARMY BLVD BLDG 2018
FORT SAM HOUSTON, TX
78234-2686

Practice Phone: 512-665-7744
Practice Fax:

Directions to “ MARKEANNE LASHA PENDLETON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.