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Dr. Ian Jameson Kaemmer, D.M.D.

Dentist, Orthodontics and Dentofacial Orthopedics in Jbsa-Lackland, TX. Individual provider (NPI-1).

NPI number1124450036
StatusActive
Last updated in NPPESJul 30, 2024

Details

NPI
1124450036
Entity type
Individual (NPI-1)
Name
Dr. Ian Jameson Kaemmer
Credential
D.M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 1, 2013
Certification date
Jul 22, 2024
Last updated
Jul 30, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial OrthopedicsDGD.8272SCYes
122300000X DentistDGD.8272 GDSC

Practice location

59 Dg-Af Postgraduate Dental School
2133 Pepperrell St. Bldg #3352
Jbsa-Lackland, TX 78236

Phone 210-292-6258 · Fax 210-292-2618

Mailing address

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638

Phone 210-292-9038

Other practice locations

674 Boulevard De France
Port Royal, SC 29902

Phone 843-228-3500

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Jbsa Lackland, TX

All 7 Orthodontics and Dentofacial Orthopedics Dentistry providers in Jbsa Lackland · All 672 providers in Jbsa Lackland

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