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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALEX A DEPERALTA JR., D.D.S.

Active

DR. ALEX A DEPERALTA JR., D.D.S. is a General Dentistry healthcare provider located in LACKLAND A F B, Texas. NPI 1043299696 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LACKLAND A F B, TX

Registration Details

NPI Number
1043299696
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2006 (20.600713830302 yrs)
Last Updated
Jul 8, 2007
Licenses
17410 (TX)
28853 (CA)

Practice Information

Address
2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX, 782369907
Browse TX providers · Browse ZIP 78236
Phone
2102927876
Fax
2102927879
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in LACKLAND A F B, TX

Name Credential NPI
DR. DONALD CHESLEY SEDBERRY JR. D.D.S. 1548248958
DR. JAMES STERLING LINDEMUTH DDS 1275511495
DR. PAMELA JEAN KLOOTE DDS 1841270816
MICHAEL MOSUR DMD 1366412082
DR. MARISA HWA FOX DDS 1942271176
DR. ROBERT CRAIG GUTHRIE D.D.S. 1093786907
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.