Ethan Roderick
Dentist • Jbsa Lackland, TX
Professional Overview & Biography Verified Profile Summary
Ethan Roderick is a registered healthcare professional specializing in Dentist in Jbsa Lackland, TX. Practice services are available at 1100 WILFORD HALL LOOP under active NPI credentials.
Practice Location & Contact Primary Location
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Jbsa Lackland, TX
Practicing in Jbsa Lackland, TX (6851 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-07-06NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Secondary Practice Locations
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
Phone: 2109167500
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Osteopathic Medicine (D.O.), Master of Public Health
Pediatrics
Doctor of Medicine (M.D.)
Military Health Care Provider - Independent Duty Medical Technicians
Internal Medicine
Student in an Organized Health Care Education/Training Program
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102924277)
Registered at 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 782365638 (Tel: 2102924277)
Recorded as ETHAN RODERICK
Dentist (License #DB-2026-0191 in NM)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638
Phone: 2102924277
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.