Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDREY NICOLE IMPERIAL
ActiveAUDREY NICOLE IMPERIAL is a General Dentistry healthcare provider located in JBSA - LACKLAND, Texas. NPI 1972137644 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · JBSA - LACKLAND, TX
Registration Details
- NPI Number
- 1972137644
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2020 (6.4653188784035 yrs)
- Last Updated
- Jul 22, 2025
- License
-
D010674 (AZ)
Practice Information
- Address
-
59 DG AF POSTGRADUATE DENTAL SCHOOL2133 PEPPERRELL ST BLDG 3352JBSA - LACKLAND, TX, 782365313Browse TX providers · Browse ZIP 78236
- Phone
- 2102926258
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in JBSA - LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW T MOBERG | DDS | 1851532980 |
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.