Jerod Wilson Brazeal, D.D.S.

Pediatric Dentistry · Arlington, TX

Individual Active NPI

NPI number 1144516311

Practice location

696 N Fielder Rd Ste 102
Arlington, TX 76012-3861
Phone
(817) 261-9772

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NPI record

NPI
1144516311
Entity type
Individual (Type 1)
Enumeration date
June 25, 2011
Last updated
March 17, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 27094 TX
Dentist 122300000X 27094 TX

Mailing address

4200 Bryant Irvin Rd Ste 129
Benbrook, TX 76109-4212
Phone
(817) 731-6964
Fax
(817) 731-4273

Other practice locations (1)

  • 4200 Bryant Irvin Rd Ste 129, Benbrook, TX 76109-4212 · (817) 731-6964

About Dr. Brazeal

Jerod Wilson Brazeal, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 696 N Fielder Rd Ste 102, Arlington, TX 76012-3861. The NPI number 1144516311 was assigned on June 25, 2011 and the record was last updated on March 17, 2018.

Dr. Brazeal lists 2 licenses in the registry: #27094 (TX) for Pediatric Dentistry; #27094 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerod Wilson Brazeal, D.D.S.?

The NPI number is 1144516311.

What is the phone number of Dr. Brazeal?

The phone number listed for the practice location is (817) 261-9772.

Where is Dr. Brazeal located?

696 N Fielder Rd Ste 102, Arlington, TX 76012-3861.

What is the taxonomy code for Dr. Brazeal?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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