Provider Demographics
NPI:1588145155
Name:LA KEMPER, DAMIAN L (DDS)
Entity type:Individual
Prefix:DR
First Name:DAMIAN
Middle Name:L
Last Name:LA KEMPER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5039 HAMILTON WOLFE RD APT 1321
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-0009
Mailing Address - Country:US
Mailing Address - Phone:210-254-2770
Mailing Address - Fax:
Practice Address - Street 1:1530 AUSTIN HWY STE 112
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-6057
Practice Address - Country:US
Practice Address - Phone:210-824-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX344891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice