DENTAL PROVIDER RESOURCES 4 NPI 1013252246

NPI Information

  • NPI: 1013252246
  • Provider Name: DENTAL PROVIDER RESOURCES 4
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: COMPLETE DENTAL CARE
  • Address: 1000 TEXAN TRL
    STE 229
    GRAPEVINE, TX
    ZIP 76051
  • Phone: (817) 328-6150

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NPI Details

DENTAL PROVIDER RESOURCES 4 is a general practice dentist in Grapevine, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DENTAL PROVIDER RESOURCES 4 NPI is 1013252246. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Complete Dental Care.

The provider's business location address is:

1000 TEXAN TRL
STE 229
GRAPEVINE, TX
ZIP 76051-776
Phone: (817) 328-6150
Fax: (866) 882-1702

The provider's authorized official is Jared Bruggeman .
The authorized official title is Owner/doctor and has the following contact phone number (817) 328-6153.

The enumeration date for this NPI number is 11/28/2012 and was last updated on 11/28/2012.

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
11223G0001XDentistGeneral PracticeYes

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: 3/30/2025

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