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AUDREY NICOLE IMPERIAL
NPI 1972137644
Dentist - General Practice in Jbsa - Lackland, TX

Active since March 02, 2020
59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL ST BLDG 3352, JBSA - LACKLAND, TX 78236(210) 292-6258 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2025, Nov 4, 2021, Oct 5, 2021 and 1 more (4 updates tracked since 2020).

About Audrey Nicole Imperial NPPES

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

AUDREY NICOLE IMPERIAL (NPI 1972137644) is an individual general practice provider in Jbsa - Lackland, Texas, licensed in Arizona (D010674) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1972137644
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameAUDREY NICOLE IMPERIAL
Location Address59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL ST BLDG 3352Jbsa - Lackland, TX 78236-5313
Mailing Address1615 Truemper StLackland Afb, TX 78236-5511
Phone(210) 292-6258
Sole ProprietorNo
Enumeration DateMarch 2, 2020
Last NPPES UpdateJuly 22, 20254 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1972137644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D010674
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.
59 DG AF POSTGRADUATE DENTAL SCHOOL, Jbsa - Lackland, TX 78236
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Other Names 1

Former Name (1)Audrey Nicole Benavides

Other Providers at the Same Location NPPES 3

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

DR. STEVEN EDWARD HANDEL JR. DMD
Dentist (Prosthodontics)
59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL STREET, BUILDING 3352
JBSA-LACKLAND, TX 78236
Bexar County (210) 292-6258
MARK SIDRANSKY DDS
Dentist (General Practice)
59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL STREET, BUILDING 3352
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6258
DR. MATTHEW WILLIAM HERSHBERGER DMD
Dentist (Oral and Maxillofacial Surgery)
59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 KLINKER STREET, BUILDING 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 Audrey Imperial's NPI number?

The NPI number for Audrey Imperial is 1972137644. It was assigned to this individual provider in the NPPES registry on March 2, 2020. The provider is also known as Audrey Nicole Benavides.

Where is Audrey Imperial located?

Audrey Imperial practices at 59 Dg Af Postgraduate Dental School 2133 Pepperrell St Bldg 3352, Jbsa - Lackland, TX 78236. The listed phone number is (210) 292-6258.

What is Audrey Imperial'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 Audrey Imperial was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.