Dod

NPI #1659722189 in Fort Hood, Texas

Provider Information

NPI Number: 1659722189
Entity Type: Organization
Organization Name: Dod
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 27, 2016
Last Updated: Jun 27, 2016

Practice Location

Address: US ARMY DENTAL ACTIVITY
Address 2: 4431 68TH STREET
City: Fort Hood
State: Texas
ZIP Code: 76544
Phone: (254) 287-3105

Authorized Official

Name: DR. STEPHEN THOMAS WOLPERT, DDS
Title: GENERAL DENTIST
Phone: (254) 371-7787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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