P Praxis·MD
● Active Type 1 · Individual

DR. Alan Conrad Dickerson, D.D.S.

Dentist·Jbsa Lackland, TX· NPI 1649247123 · Enumerated 2006 · 20 years on NPI
Dickerson is 1 of 9 dentist providers in Jbsa Lackland and 1 of 625 in Texas.
NPI age
20 years
Enumerated 2006-03-03
Primary specialty
Dentist
Licensed in
LA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-12-29
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
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102920672
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102920672

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...
    LA license #4330 taxonomy 1223P0300X

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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