Dr. Robert Corley Tollefson , DDS
Dentist - General Practice • Lackland Afb, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Tollefson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Tollefson, DDS was a registered Dentist - General Practice practicing in Lackland Afb, TX. Throughout an active medical career spanning 19 years, Dr. Tollefson provided care at the practice location at 220 BERQUIST DRIVE until profile deactivation on 2025-01-30.
Practice Location & Contact Primary Location
220 Berquist Drive
Suite 1
Lackland Afb, TX 782365300
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Lackland Afb, TX
Practicing in Lackland Afb, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
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Dentist - Endodontics
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 30, 2025
NPI status registered as active in NPPES database
Registered at 220 BERQUIST DRIVE, SUITE 1, LACKLAND AFB, TX 782365300 (Tel: 2102927282)
Registered at 810 TOEPPERWEIN RD, CONVERSE, TX 781092306 (Tel: 4099632725)
Recorded as ROBERT TOLLEFSON, D.D.S.
Dentist (License #11142 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
810 Toepperwein Rd
Converse, TX 781092306
Phone: 4099632725
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