NPI 1124450036 · live from the CMS NPI Registry
Ian Jameson Kaemmer, D.M.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Jbsa-Lackland, TX. National Provider Identifier 1124450036, active.
NPI record
| NPI | 1124450036 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 59 Dg-Af Postgraduate Dental School, 2133 Pepperrell St. Bldg #3352, Jbsa-Lackland, TX 78236 |
| Practice phone | 210-292-6258 |
| Mailing address | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 |
| Enumerated | August 1, 2013 |
| Last updated | July 30, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DGD.8272 GD (SC) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DGD.8272 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.