Audrey Nicole Imperial
General Practice Dentistry · Jbsa - Lackland, TX
Practice location
59 DG Af Postgraduate Dental School2133 Pepperrell St Bldg 3352
Jbsa - Lackland, TX 78236-5313
- Phone
- (210) 292-6258
NPI record
- NPI
- 1972137644
- Entity type
- Individual (Type 1)
- Enumeration date
- March 2, 2020
- Last updated
- July 22, 2025
- Certified
- July 14, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
D010674 | AZ |
Mailing address
1615 Truemper StLackland Afb, TX 78236-5511
About Audrey Imperial
Audrey Nicole Imperial is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 59 DG Af Postgraduate Dental School, 2133 Pepperrell St Bldg 3352, Jbsa - Lackland, TX 78236-5313. The NPI number 1972137644 was assigned on March 2, 2020 and the record was last updated on July 22, 2025.
Audrey Imperial lists a license in the registry: #D010674 (AZ) 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 Audrey Nicole Imperial?
The NPI number is 1972137644.
What is the phone number of Audrey Imperial?
The phone number listed for the practice location is (210) 292-6258.
Where is Audrey Imperial located?
59 DG Af Postgraduate Dental School, 2133 Pepperrell St Bldg 3352, Jbsa - Lackland, TX 78236-5313.
What is the taxonomy code for Audrey Imperial?
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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