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Dr. Alan Conrad Dickerson, DDS
Periodontist in Jbsa Lackland, Texas
NPI 1649247123

Alan Conrad Dickerson is a Periodontist based in Jbsa Lackland, TX and is specialized in Periodontics. Alan Conrad Dickerson practices in Jbsa Lackland, TX and has the professional credentials of DDS. The NPI Number for Alan Conrad Dickerson is 1649247123 and holds a License No. 4330 (Texas).

The current practice location address for Alan Conrad Dickerson is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX and can be reached out via phone at 210-292-0672.

Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 78236-5638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649247123
Provider Name
Alan Conrad Dickerson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 78236-5638
Phone Number
210-292-0672
Fax Number
Provider Enumeration Date
03/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1100 Wilford Hall Loop Bldg 4554
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-292-0672
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Wilford Hall Loop Bldg 4554
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-292-0672
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
4330 (Louisiana)
Definition
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.
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