NPI age
20 years
Enumerated 2005-11-30
● Active
Type 1 · Individual
DR. Corey Rawlins Anderson, D.S.S., M.S.
Anderson is 1 of 9 dentist providers in Jbsa Lackland and 1 of 625 in Texas.
Primary specialty
Dentist
Licensed in
UT
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-20
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 · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
1615 Truemper St Bldg 6418
Jbsa Lackland, TX 782365511
Mailing address
381 Trs, Bldg 903
Ft Sam Houston, TX 78234
Additional practice locations
1 secondary location on file with NPPES.
Location 2
221 3rd St W Bldg 1040
Jbsa Randolph, TX 781504800
Specialties
-
Dentist PrimaryThat 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...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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