Dickerson, Alan Conrad

Dickerson, Alan Conrad is an individual health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , Jbsa Lackland TX 78236-5638. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Dickerson, Alan Conrad can be contacted via phone (210) 292-0672.

Contact Information

Primary practice address
1100 Wilford Hall Loop Bldg 4554 Jbsa Lackland TX 78236-5638
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 4330 Louisiana

Profile Details

NPI number 1649247123
LBN Legal business name Dickerson, Alan Conrad
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Dec 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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