Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WONGELAWIT DELDIL TADESSE DDS
NPI 1487359717
Dentist - General Practice in Jbsa Lackland, TX

Q: What is Wongelawit Tadesse's NPI number?

The NPI number for Wongelawit Tadesse is 1487359717. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Wongelawit Tadesse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since April 04, 2023

2133 PEPPERRELL ST BLDG 3352, JBSA LACKLAND, TX 78236(210) 292-0774 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Jul 23, 2024, Jul 25, 2023 and 1 more (4 updates tracked since 2023).

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About Wongelawit Deldil Tadesse Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WONGELAWIT DELDIL TADESSE DDS (NPI 1487359717) is an individual general practice provider in Jbsa Lackland, Texas, licensed in Utah (134917919926) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1487359717

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameWONGELAWIT DELDIL TADESSECredential: DDS

Location Address2133 PEPPERRELL ST BLDG 3352Jbsa Lackland, TX 78236-5313

Mailing Address2133 Pepperrell St Bldg 3352Jbsa Lackland, TX 78236-5313

Phone(210) 292-0774

Sole ProprietorYes

Enumeration DateApril 4, 2023

Last NPPES UpdateJuly 13, 20264 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1487359717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 134917919926

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2133 PEPPERRELL ST BLDG 3352, Jbsa Lackland, TX 78236

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK DANIEL RYAN D.D.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236

Bexar County (210) 292-6258

HARRISON GORDNER DMD

Dentist

2133 PEPPERRELL ST BLDG 3352, 2133 PEPPERRELL STREET, BUILDING 3352
JBSA LACKLAND, TX 78236

Bexar County (210) 292-6258

DR. LARRY JAMES EVANS DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236

Bexar County (210) 292-8627

DR. JULIE VAN D.M.D.

Dentist (General Practice)

2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236

Bexar County (210) 292-6258

VINCENT ARCHER D.M.D.

Dentist (General Practice)

2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236

Bexar County (210) 292-0123

DR. ZOE RING DMD

Dentist

2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236

Bexar County (210) 292-6258

COLTON SHANER

Student in an Organized Health Care Education/Training Program

2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236

Bexar County (210) 292-7269

DR. CLIFTON J WRIGHT DDS

Dentist

2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236

Bexar County (210) 292-6258

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wongelawit Tadesse's NPI number?

The NPI number for Wongelawit Tadesse is 1487359717. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Wongelawit Tadesse located?

Wongelawit Tadesse practices at 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-0774.

What is Wongelawit Tadesse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Wongelawit Tadesse was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.