P Praxis·MD
● Active Type 1 · Individual

Demitri Villarreal, D.D.S.; M.S.

Dentist·Lackland Afb, TX· NPI 1588865943 · Enumerated 2007 · 18 years on NPI
Villarreal is 1 of 2 dentist providers in Lackland Afb and 1 of 625 in Texas.
NPI age
18 years
Enumerated 2007-05-31
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
TX, NV
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-04-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 625 active dentist providers in Texas.

NPI age
18 years
≈ at median (17 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
2133 Pepperrell St
Lackland Afb, TX 782365313
📞 2102922558
Mailing address
2133 Pepperrell St
Lackland Afb, TX 782365313
📞 2102922558

Additional practice locations

1 secondary location on file with NPPES.

Location 2
9234 N Loop 1604 W Ste 121
San Antonio, TX 782492984
📞 2106811121

Specialties

  • Dentist Primary
    That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
    TX license #23464NV license #S4-97C taxonomy 1223P0300X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    TX license #A000986496 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 3 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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