Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659965770 Individual Practitioner Male Practitioner

Dr. Damien William Nelson , DDS

Dentist - General Practice • Lackland Afb, TX

Professional Overview & Biography Verified Profile Summary

Dr. Damien Nelson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lackland Afb, 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

Lackland Afb, TX 782365313

Telephone 2102926258

Specialty Benchmarks & Practice Insights

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

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

Practicing in Lackland Afb, 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 WI 1002658-15

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

Dr. Julie Van , DMD

Dentist - General Practice

NPI 1134571904

Doctor of Dental Medicine

NPI 1144902172

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 14, 2025

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

📍
Updated Practice Location August 26, 2022

Registered at 220 FALCON PKWY, SCHRIEVER AFB, CO 809125005 (Tel: 7195675065)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2022

Dentist (License #1002658-15 in WI)

NPI Profile Active March 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2021

Registered at 151 BODIN CIR BLDG 775, TRAVIS AFB, CA 945351801 (Tel: 7074237008)

📍
Updated Business Mailing Address March 01, 2021

Registered at 28130 N DARRELL RD, WAUCONDA, IL 600849723 (Tel: 7736150133)

👤
Provider Name / Credentials Updated March 01, 2021

Recorded as DAMIEN NELSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 01, 2021

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: 1659965770
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2021
Last Update: July 14, 2025
Sole Proprietor: Yes

Mailing Address

28130 N Darrell Rd

Wauconda, IL 600849723

Phone: 7736150133

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.