Ethan Roderick is a Jbsa Lackland, Texas based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ethan Roderick is
DB-2026-0191 for Dentistry in New Mexico. His current practice location is
1100 Wilford Hall Loop, Jbsa Lackland. Patients can reach him at
210-292-4277.
Ethan Roderick is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ethan Roderick speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Ethan Roderick |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1100 Wilford Hall Loop, Jbsa Lackland,
Texas, 78236-5638 |
| Phone: | 210-292-4277 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1780518340 |
| NPI Enumeration Date: | 10 Jun, 2026 |
| NPI Last Update On: | 06 Jul, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan Roderick are as mentioned below.
| License Number | Specialization | State | Status | |
| DB-2026-0191 | Dentistry | New Mexico | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1100 Wilford Hall Loop,
Jbsa Lackland, Texas |
| Zip: | 78236-5638 |
| Phone Number: | 210-292-4277 |
Patients can reach Ethan Roderick at
1100 Wilford Hall Loop, Jbsa Lackland, Texas or can
call to book an appointment on 210-292-4277.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.