Ethan Roderick
Dentist · Jbsa Lackland, TX
Practice location
1100 Wilford Hall LoopJbsa Lackland, TX 78236-5638
- Phone
- (210) 292-4277
NPI record
- NPI
- 1780518340
- Entity type
- Individual (Type 1)
- Enumeration date
- June 10, 2026
- Last updated
- July 6, 2026
- Certified
- July 6, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DB-2026-0191 | NM |
Other practice locations (1)
- 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 · (210) 916-7500
About Ethan Roderick
Ethan Roderick is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638. The NPI number 1780518340 was assigned on June 10, 2026 and the record was last updated on July 6, 2026.
Ethan Roderick lists a license in the registry: #DB-2026-0191 (NM) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Ethan Roderick?
The NPI number is 1780518340.
What is the phone number of Ethan Roderick?
The phone number listed for the practice location is (210) 292-4277.
Where is Ethan Roderick located?
1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638.
What is the taxonomy code for Ethan Roderick?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Jbsa Lackland
- Christiana Rhodes, DMD2133 Klinker Street
- Harrison Gordner, DMD2133 Pepperrell St Bldg 3352
- Terrell Mitchell, DDS1100 Wilford Hall Loop Bldg 4544
- Zoe Ring, DMD2133 Pepperrell St Bldg 3352
- Carl Paul Bhend, D.D.S.1100 Wilford Hall Loop
- Christopher Michael Wolbert, D.D.S.Whasc
- Mark Maher Wadie Elia, DDS2133 Klinker Street
- Erik Anderson, DDSDunn Dental Clinic
- Zachary Snider1100 Wilford Hall Loop Bldg 4554
- Eric L. Cathey, DDS1100 Wilford Hall Loop, Bldg 4554
- Clifton J. Wright, DDS2133 Pepperrell St Bldg 3352
- John R. Ensley, DMD2133 Pepperrell St Bldg 3352