Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134571904 Individual Practitioner Female Practitioner

Dr. Julie Van , DMD

Dentist - General Practice • Jbsa Lackland, TX

Professional Overview & Biography Verified Profile Summary

Dr. Julie Van, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jbsa Lackland, TX. Practice services are available at 2133 PEPPERRELL ST BLDG 3352 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2133 Pepperrell St Bldg 3352

Jbsa Lackland, TX 782365313

Telephone 2102926258

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jbsa Lackland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
39 Specialists

Practicing in Jbsa Lackland, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 37307

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 100333

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License FL DTC71

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Dr. Mark Ryan , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023354388

Doctor of Dental Surgery

NPI 1033794730

Doctor of Dental Medicine

NPI 1043624695

Doctor of Dental Medicine

Dr. Ian Kaemmer , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1124450036

Doctor of Dental Medicine

NPI 1144902172

Doctor of Dental Medicine

NPI 1205535366

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location May 29, 2024

Registered at 2133 PEPPERRELL ST BLDG 3352, JBSA LACKLAND, TX 782365313 (Tel: 2102926258)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2024

Dentist (License #100333 in CA)

📍
Updated Practice Location January 05, 2024

Registered at 113 LIELMANIS AVE, HURLBURT FIELD, FL 325445613 (Tel: 8508847881)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2024

Dentist (License #DTC71 in FL)

📍
Updated Practice Location December 29, 2021

Registered at 483 N AVIATION BLVD BLDG 210, EL SEGUNDO, CA 902452808 (Tel: 3106536785)

📍
Updated Practice Location May 01, 2018

Registered at UNIT 2022, APO, AP 962642022 (Tel: 7147948265)

NPI Profile Active July 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2016

Registered at 4700 LAS VEGAS BLVD N, SUITE 2419, NELLIS AFB, NV 891916600 (Tel: 7144043973)

📍
Updated Business Mailing Address July 05, 2016

Registered at 10882 CEDAR ST, STANTON, CA 906803056 (Tel: 7144043973)

👤
Provider Name / Credentials Updated July 05, 2016

Recorded as JULIE VAN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2016

Dentist (License #100333 in CA)

🟢
Initial NPI Registration & Enumeration July 05, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134571904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2016
Last Update: May 29, 2024
Sole Proprietor: No

Mailing Address

10882 Cedar St

Stanton, CA 906803056

Phone: 7144043973

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.