NPI 1790073609 · live from the CMS NPI Registry
Bruce Alan Abbott, DDS, PharmD
Dentist in Jbsa Lackland, TX. National Provider Identifier 1790073609, active.
NPI record
| NPI | 1790073609 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1615 Truemper St, Jbsa Lackland, TX 78236 |
| Practice phone | 210-292-8980 |
| Mailing address | Wilford Hall Amb Surg Center Jbsa Lackland, Ab, Tx, Jbsa Lackland, TX 78259 |
| Enumerated | July 12, 2011 |
| Last updated | September 26, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 1111111111 (TN) |
| Dentist primary | 122300000X | DN27904 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.