Joseph Bryan Ilustre, D.D.S

General Practice Dentistry · Pearland, TX

Individual Active NPI

NPI number 1417107384

Practice location

3695 Kirby Dr Ste 129
Pearland, TX 77584-5544
Phone
(281) 941-5488

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NPI record

NPI
1417107384
Entity type
Individual (Type 1)
Enumeration date
September 26, 2008
Last updated
October 22, 2020
Certified
October 22, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 24259 TX

Mailing address

3695 Kirby Dr
Pearland, TX 77584-5534
Phone
(281) 941-5488

About Dr. Ilustre

Joseph Bryan Ilustre, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3695 Kirby Dr Ste 129, Pearland, TX 77584-5544. The NPI number 1417107384 was assigned on September 26, 2008 and the record was last updated on October 22, 2020.

Dr. Ilustre lists a license in the registry: #24259 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Joseph Bryan Ilustre, D.D.S?

The NPI number is 1417107384.

What is the phone number of Dr. Ilustre?

The phone number listed for the practice location is (281) 941-5488.

Where is Dr. Ilustre located?

3695 Kirby Dr Ste 129, Pearland, TX 77584-5544.

What is the taxonomy code for Dr. Ilustre?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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