Active NPI 1972137644 Individual Practitioner Female Practitioner

Audrey Nicole Imperial

Dentist - General Practice • Jbsa - Lackland, TX

Professional Overview & Biography Verified Profile Summary

Audrey Imperial is a registered healthcare professional specializing in Dentist - General Practice in Jbsa - Lackland, TX. Practice services are available at 59 DG AF POSTGRADUATE DENTAL SCHOOL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

59 Dg Af Postgraduate Dental School
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: 2025-07-14

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D010674

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

Dr. Christiana Rhodes , DMD

Dentist

NPI 1033794730

Doctor of Dental Medicine

Dr. Harrison Gordner , DMD

Dentist

NPI 1043624695

Doctor of Dental Medicine

Dr. Ian Kaemmer , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1124450036

Doctor of Dental Medicine

Dr. Julie Van , DMD

Dentist - General Practice

NPI 1134571904

Doctor of Dental Medicine

Dr. Zoe Ring , DMD

Dentist

NPI 1144902172

Doctor of Dental Medicine

Career & Practice History Timeline

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

13 Historical Events

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Updated Practice Location July 22, 2025

Registered at 59 DG AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL ST BLDG 3352, JBSA - LACKLAND, TX 782365313 (Tel: 2102926258)

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Updated Practice Location May 07, 2025

Registered at 1615 TRUEMPER ST, LACKLAND AFB, TX 782365511 (Tel: 2102920123)

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Updated Business Mailing Address May 07, 2025

Registered at 1615 TRUEMPER ST, LACKLAND AFB, TX 782365511

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Updated Business Mailing Address November 04, 2021

Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809

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Updated Practice Location October 05, 2021

Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 7074237099)

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Updated Business Mailing Address October 05, 2021

Registered at 137 WISTERIA CIR, VACAVILLE, CA 956877645

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2021

Dentist (License #D010674 in AZ)

✅

NPI Profile Active March 02, 2020

NPI status registered as active in NPPES database

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Updated Practice Location March 02, 2020

Registered at 101 BODIN CIR, FAIRFIELD, CA 945351809 (Tel: 7074237001)

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Updated Business Mailing Address March 02, 2020

Registered at 18014 W CARMEN DR, SURPRISE, AZ 853881668

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Provider Name / Credentials Updated March 02, 2020

Recorded as AUDREY IMPERIAL

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2020

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration March 02, 2020

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: 1972137644

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 02, 2020

Last Update: July 22, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1615 Truemper St

Lackland Afb, TX 782365511

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.