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NPISignal

Individual Healthcare Provider

Jenny Phung Stevens, DMD

NPI Record: ActiveDentist — Prosthodontics
NPI1386052538
Jbsa Lackland, Texas

Provider's NPPES record last updated: September 30, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1386052538
Primary Specialty
Dentist — Prosthodontics
Practice Location
Jbsa Lackland, Texas
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 10:17 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    Prosthodontics

    Dental Providers

    Primary

    That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

    Taxonomy code 1223P0700X

Provider-Reported License Information

Dentist (Texas)
31724
Dentist (North Carolina)
9833
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1100 Wilford Hall Loop, Bldg 4554

59 Mdw/Sghc

Jbsa Lackland, Texas 78236-9908

Phone: (210) 292-6225

Additional Practice Location

3551 Roger Brooke Dr

Fort Sam Houston, Texas 78234-4504

Phone: (210) 292-8611

Record Information

Enumeration Date
July 31, 2014
Provider's NPPES Record Last Updated
September 30, 2024
Certification Date
September 30, 2024
NPISignal NPPES Dataset
August 2026

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