DR. STEVEN FRANKLIN ROBERTSON JR. (NPI# 1659592459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659592459 |
| Entity Type | Individual |
| Full Name | DR. STEVEN FRANKLIN ROBERTSON JR. |
| Credential | DDS |
| Practice Address |
2200 Berquist Dr Ste 1 Lackland Afb TX 78236-9908 |
| Mailing Address |
2200 Berquist Dr. Suite 1 Lackland Afb TX 78236 |
| Practice Telephone | 2102927872 |
| Mailing Telephone | 2102927872 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
13017 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538518840 | Steven Derek Robertson | Dentist | 1613 Montford Dr, Charlotte, NC 28209-3702 | 2016-06-07 |
| 1811903156 | Steven Lindsey Robertson | Chiropractor | 2200 21st Ave South, Ste 110, Nashville, TN 37212 | 2006-07-31 |
| 1770582686 | Steven P Robertson | Internal Medicine | 20 S 3rd St Ste 210, Columbus, OH 43215-4206 | 2005-07-21 |
| 1063958650 | Steven Robertson | Perfusionist | 31330 Schoolcraft Rd, Ste 20, Livonia, MI 48150-2041 | 2017-01-06 |
| 1023167814 | Steven Robertson | Chiropractor | 100 3rd St, California, PA 15419-1130 | 2007-01-09 |
| 1225019573 | Steven C Robertson | Anesthesiology | 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | 2005-11-11 |
| Street Address |
2200 BERQUIST DR STE 1 |
| City | LACKLAND AFB |
| State | TX |
| Zip Code | 78236-9908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362218 | Matthew Gerard Retzloff | Obstetrics & Gynecology | 2200 Berquist Dr, 859 Mdos/mmno, Suite 1, Lackland Afb, TX 78236-5300 | 2005-11-02 |
| 1245540566 | Emmalyn V. Tague | Physician Assistant | 2200 Berquist Dr, Lackland Afb, TX 78236-6040 | 2010-10-20 |
| 1669451506 | Edmund Sami Sabanegh Jr. | Urology | 2200 Berquist Dr, Ste 1, Credentials/cmc, Lackland Afb, TX 78236-5300 | 2006-01-10 |
| 1497731848 | Ronald Everett Wyatt | Nurse Anesthetist, Certified Registered | 2200 Berquist Dr, 59 Medical Wing/credentials, Lackland Afb, TX 76236-5300 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467725507 | Daniel Schlieder | Dentist | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2012-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
| City | LACKLAND AFB |
| Zip Code | 78236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.