Luis Manuel Bermudez, D.D.S.

General Practice Dentistry · Jbsa Lackland, TX

Individual Active NPI

NPI number 1902908783

Practice location

1615 Truemper St Bldg 6418
Jbsa Lackland, TX 78236-5511
Phone
(787) 787-9469
Fax
(210) 292-0676

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NPI record

NPI
1902908783
Entity type
Individual (Type 1)
Enumeration date
September 2, 2006
Last updated
April 13, 2021
Certified
January 22, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 1797 PR

About Dr. Bermudez

Luis Manuel Bermudez, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1615 Truemper St Bldg 6418, Jbsa Lackland, TX 78236-5511. The NPI number 1902908783 was assigned on September 2, 2006 and the record was last updated on April 13, 2021.

Dr. Bermudez lists a license in the registry: #1797 (PR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Luis Manuel Bermudez, D.D.S.?

The NPI number is 1902908783.

What is the phone number of Dr. Bermudez?

The phone number listed for the practice location is (787) 787-9469.

Where is Dr. Bermudez located?

1615 Truemper St Bldg 6418, Jbsa Lackland, TX 78236-5511.

What is the taxonomy code for Dr. Bermudez?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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