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

DEMITRI VILLARREAL, D.D.S.; M.S.

Active

DEMITRI VILLARREAL, D.D.S.; M.S. is a Periodontology healthcare provider located in LACKLAND AFB, Texas. NPI 1588865943 is currently active in the NPPES registry. Verify at CMS.

Periodontology · LACKLAND AFB, TX

Registration Details

NPI Number
1588865943
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2007 (19.176590300845 yrs)
Last Updated
Apr 30, 2018
Licenses
A000986496 (TX)
23464 (TX)
S4-97C (NV)

Practice Information

Address
2133 PEPPERRELL ST
LACKLAND AFB, TX, 782365313
Browse TX providers · Browse ZIP 78236
Phone
2102922558
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Periodontology

Other Periodontology Providers in LACKLAND AFB, TX

Name Credential NPI
DR. SHARON R. BANNISTER DDS,MS 1568440642
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.