Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821378084 Individual Practitioner Male Practitioner

Dr. Evan Roberts , DDS

Dentist • Jbsa Lackland, TX

Professional Overview & Biography Verified Profile Summary

Dr. Evan Roberts, DDS is a registered healthcare professional specializing in Dentist in Jbsa Lackland, TX. Practice services are available at WILFORD HALL AMBULATORY SURGICAL CENTER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop

Jbsa Lackland, TX 78236

Telephone 2105397036

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jbsa Lackland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
44 Specialists

Practicing in Jbsa Lackland, TX (6851 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: 2024-08-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 27079

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

4102 Pinion Dr

Usaf Academy, CO 808402502

Phone: 7193335477

606 Fisher St, 81 Dental Squadron/sgd

Keesler Afb, MS 395342513

Phone: 2283760511

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Samantha Murphy , MD

Student in an Organized Health Care Education/Training Program

NPI 1144802000

Doctor of Medicine (M.D.)

Dr. Jennifer Henning , MD

Radiology - Diagnostic Radiology

NPI 1205223542

Doctor of Medicine (M.D.)

NPI 1235624065

Doctor of Psychology (Psy.D.)

Dr. Patrick Sullivan , PT, DPT

Physical Therapist - Orthopedic

NPI 1487107728

Physical Therapist, Doctor of Physical Therapy

NPI 1558748988

Doctor of Medicine (M.D.)

Dr. Stacy Cook , MD

General Practice

NPI 1659998052

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 08, 2024

Registered at WILFORD HALL AMBULATORY SURGICAL CENTER, 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236 (Tel: 2105397036)

📍
Updated Business Mailing Address August 08, 2024

Registered at WILFORD HALL AMBULATORY SURGICAL CENTER, 1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236 (Tel: 2105397036)

📍
Updated Practice Location April 06, 2018

Registered at 4102 PINION DR, USAF ACADEMY, CO 808402502 (Tel: 7193335477)

📍
Updated Business Mailing Address April 06, 2018

Registered at 4102 PINION DR, US AIR FORCE, CO 808402502

NPI Profile Active August 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2011

Registered at 606 FISHER ST, 81 DENTAL SQUADRON/SGD, KEESLER AFB, MS 395342513 (Tel: 2283760511)

📍
Updated Business Mailing Address August 19, 2011

Registered at 606 FISHER ST, 81 DENTAL SQUADRON/SGD, KEESLER AFB, MS 395342513

👤
Provider Name / Credentials Updated August 19, 2011

Recorded as EVAN ROBERTS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2011

Dentist (License #27079 in TX)

🟢
Initial NPI Registration & Enumeration August 19, 2011

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: 1821378084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2011
Last Update: August 08, 2024
Sole Proprietor: No

Mailing Address

Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop

Jbsa Lackland, TX 78236

Phone: 2105397036

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.