Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Audrey Nicole Imperial

Individual provider General Practice Dentistry · NPI 1972137644

Audrey Nicole Imperial is a General Practice Dentistry in Jbsa Lackland, Texas. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

59 Dg Af Postgraduate Dental School 2133 Pepperrell St Bldg 3352
Jbsa Lackland, TX 78236-5313
Phone: (210) 292-6258
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D010674 (AZ)

Record details

NPI number1972137644
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 2, 2020
Last updated in NPPESJuly 22, 2025
Certification dateJuly 14, 2025

Other providers in Jbsa Lackland