P Praxis·MD
● Active Type 1 · Individual

Kimberly Tong, D.D.S, M.S.

Dentist·Jbsa Lackland, TX· NPI 1417221169 · Enumerated 2012 · 14 years on NPI
Tong is 1 of 4 dentist providers in Jbsa Lackland and 1 of 63 in Texas.
NPI age
14 years
Enumerated 2012-02-27
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 63 active dentist providers in Texas.

NPI age
14 years
↓ 5 yr below median (19 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-02Enumerated in NPPES
2012 2026

Where they practice

Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2109163624
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2109163624

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 2109163624
Location 3
Raf Lakenheath 48 Mdg/sgd, Unit 5210 Box 230
Apo, AE 094610230
📞 07884581343

Specialties

  • Dentist Primary
    The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and...
    TX license #28097 taxonomy 1223P0106X
  • Dentist
    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.
    TX license #28097 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 307 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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