Bryan Pediatric Dentistry

Pediatric Dentistry · Bryan, TX

Organization Active NPI

NPI number 1891219499

Practice location

2510 S Texas Ave
Bryan, TX 77802-2329
Phone
(317) 903-9276

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NPI record

NPI
1891219499
Entity type
Organization (Type 2)
Enumeration date
July 26, 2017
Last updated
June 12, 2024
Certified
June 12, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X — —

Mailing address

1709 Glade St
College Station, TX 77840-4341
Phone
(317) 903-9276

Authorized official

Name
Kristine Donnelly, DDS
Title
Owner, Pediatric Dentist
Phone
(979) 703-2893

Other names

  • Bryan Pediatric Dentistry PC

About Bryan Pediatric Dentistry

Bryan Pediatric Dentistry is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 2510 S Texas Ave, Bryan, TX 77802-2329. The NPI number 1891219499 was assigned on July 26, 2017 and the record was last updated on June 12, 2024.

The authorized official for this organization is Kristine Donnelly, DDS, Owner, Pediatric Dentist.

Frequently asked questions

What is the NPI number of Bryan Pediatric Dentistry?

The NPI number is 1891219499.

What is the phone number of Bryan Pediatric Dentistry?

The phone number listed for the practice location is (317) 903-9276.

Where is Bryan Pediatric Dentistry located?

2510 S Texas Ave, Bryan, TX 77802-2329.

What is the taxonomy code for Bryan Pediatric Dentistry?

The primary taxonomy code is 1223P0221X – Pediatric 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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