IndividualActive
Scott Davis, DDS
NPI 1215284872 · Oral and Maxillofacial Pathology Dentistry · Jbsa Lackland, TX
Provider details
- NPI number
- 1215284872
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 8023839-9926 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone: (210) 916-3624
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Additional practice locations (1)
- 3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504Phone: (210) 916-3624
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.