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DR. ALAN CONRAD DICKERSON D.D.S.
NPI 1649247123
Dentist - Periodontics in Jbsa Lackland, TX

Active since March 03, 2006
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236(210) 292-0672 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alan Conrad Dickerson D.d.s. NPPES

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

DR. ALAN CONRAD DICKERSON D.D.S. (NPI 1649247123) is an individual periodontics provider in Jbsa Lackland, Texas, licensed in Louisiana (4330) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1649247123
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ALAN CONRAD DICKERSONCredential: D.D.S.
Location Address1100 WILFORD HALL LOOP BLDG 4554Jbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · (210) 292-0672
Phone(210) 292-0672
Sole ProprietorNo
Enumeration DateMarch 3, 2006
Last NPPES UpdateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
✔ NPI 1649247123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in LA · 4330
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.
1100 WILFORD HALL LOOP BLDG 4554, 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. REGINA MARIA REINSVOLD M.D.
Anesthesiology
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Bexar County (210) 292-6255
ROBERT LEE LMFT
Marriage & Family Therapist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6255
DR. FINIANNE JIMENEZ UMALI-CORRY DO, MPH
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Bexar County (210) 292-4277
DAVID CHRISTOPHER MARI D.O.
Allergy & Immunology
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6255
DR. HANNAH GHONG-JU AHN MD
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-4482
MRS. CASSANDRA LANETTE DOUGLAS PHARMACIST
Pharmacist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (102) 292-1144
DR. CHARLES RICHARD ELCHERT JR. D.C.
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-3587
DR. LISA LEADER KOHLER OD
Optometrist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6255

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 Alan Dickerson's NPI number?

The NPI number for Alan Dickerson is 1649247123. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Alan Dickerson located?

Alan Dickerson practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-0672.

What is Alan Dickerson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Alan Dickerson was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.