BRYAN PEDIATRIC DENTISTRY NPI 1891219499

NPI Information

NPI: 1891219499
Provider Name: BRYAN PEDIATRIC DENTISTRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2510 S TEXAS AVE
BRYAN, TX
ZIP 77802
Phone: (317) 903-9276
Get Directions

BRYAN PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Bryan, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BRYAN PEDIATRIC DENTISTRY NPI is 1891219499. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2510 S TEXAS AVE
BRYAN, TX
ZIP 77802-329
Phone: (317) 903-9276

The provider's authorized official is Kristine Donnelly .
The authorized official title is OWNER, PEDIATRIC DENTISTPediatric Dentist and has the following contact phone number (317) 903-9276.

The enumeration date for this NPI number is 7/26/2017 and was last updated on 7/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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