# DOD

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

## Provider details

- **NPI number:** 1659722189
- **Authorized official:** DR. STEPHEN THOMAS WOLPERT DDS (GENERAL DENTIST)
- **Authorized official phone:** (254) 371-7787

## Contact information

- **Practice address:** US ARMY DENTAL ACTIVITY, 4431 68TH STREET, FORT HOOD, TX 76544
- **Practice address phone:** (254) 287-3105
- **Mailing address:** US ARMY DENTAL ACTIVITY, 4431 68TH STREET, APO, AA 76544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 06749 | IA | — |
| 261QD0000X | Dental Clinic/Center | 5863 | NE | Yes |

## Other

- **Enumeration date:** 06/27/2016
- **Last updated:** 06/27/2016