# ROBERT R. LEMKE DDS, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366865081
- **Authorized official:** DR. ROBERT R. LEMKE DDS, MD, PA (OWNER/ PRESIDENT)
- **Authorized official phone:** (210) 491-0015

## Contact information

- **Practice address:** 14500 SAN PEDRO AVE, SUITE 102, SAN ANTONIO, TX 78232-4391
- **Practice address phone:** (210) 491-0015
- **Practice address fax:** (210) 491-0352
- **Mailing address:** 14500 SAN PEDRO AVE, SUITE 102, SAN ANTONIO, TX 78232-4391
- **Mailing address phone:** (210) 491-0015
- **Mailing address fax:** (210) 491-0352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0300X | Periodontics | 28748 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 15342 | TX | Yes |

## Other

- **Enumeration date:** 01/31/2014
- **Last updated:** 01/31/2014