DR. DREW WAYNE FALLIS SR. D.D.S
NPI 1679595946
Dentist - Orthodontics and Dentofacial Orthopedics in Lackland A F B, TX

Active since July 24, 2006
2200 BERGQUIST DR STE 1, ATTN: DARLON JACKSON, CREDENTIALS MANAGER, LACKLAND A F B, TX 78236(210) 292-7395(210) 292-7964 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Drew Wayne Fallis Sr. D.d.s NPPES

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

DR. DREW WAYNE FALLIS SR. D.D.S (NPI 1679595946) is an individual orthodontics and dentofacial orthopedics provider in Lackland A F B, Texas, licensed in Oklahoma (4870) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1679595946
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. DREW WAYNE FALLIS SR.Credential: D.D.S
Location Address2200 BERGQUIST DR STE 1, ATTN: DARLON JACKSON, CREDENTIALS MANAGERLackland A F B, TX 78236-9908
Mailing Address8610 Mantano RdgHelotes, TX 78023-4705 · (210) 372-0777 · Fax (210) 292-5935
Fax(210) 292-7964
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1679595946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in OK · 4870
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

2200 BERGQUIST DR STE 1, Lackland A F B, TX 78236

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.

Clinical Neuropsychologist
2200 BERGQUIST DR STE 1
LACKLAND AFB, TX 78236
Physical Therapist
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Dentist (Periodontics)
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Dentist (General Practice)
2200 BERGQUIST DR STE 1, ATT: CREDENTIALS ( CMC)
LACKLAND A F B, TX 78236
Nurse Anesthetist, Certified Registered
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Emergency Medicine
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Dietitian, Registered
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Pediatrics
2200 BERGQUIST DR STE 1, ATTN:CREDENTIALS(CMC)
LACKLAND A F B, TX 78236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679595946, enumerated as an "individual" on July 24, 2006.

The provider is located at 2200 BERGQUIST DR STE 1 ATTN: DARLON JACKSON, CREDENTIALS MANAGER LACKLAND A F B, TX 78236 and the phone number is (210) 292-7395.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.