Raymond Bernard Bersano, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

HQS, U.S. Army Dental Activity
51005 Winans Riley Barracks East Wing
Fort Huachuca, AZ 85613-7040

Phone

(520) 533-3144

Fax

(520) 533-7285

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790739613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HQS, U.S. ARMY DENTAL ACTIVITY",
            "address_2": "51005 WINANS RILEY BARRACKS EAST WING",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137040",
            "telephone_number": "520-533-3144",
            "fax_number": "520-533-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HQS, U.S. ARMY DENTAL ACTIVITY",
            "address_2": "51005 WINANS RILEY BARRACKS EAST WING",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137040",
            "telephone_number": "520-533-3144",
            "fax_number": "520-533-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSANO",
        "first_name": "RAYMOND",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.