Bravo Dental
Organization Active NPI General Practice Dentistry · Dallas, TX
NPI 1013376359 · NPPES record last updated Feb 26, 2016
Key facts
- NPI
- 1013376359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 18807 (TX)
- Legal business name
- BRAVO DENTAL
- Practice address
- 303 E Overton Rd
Dallas, TX 75216-5946 - Phone
- (214) 704-6778
- NPI assigned
- Feb 15, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Rita NE, D.D.S.,M.S.
- Title
- Owner
- Phone
- (214) 704-6778
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Bravo Dental
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 18807 | TX | Yes |
Addresses
Primary practice location
303 E Overton Rd
Dallas, TX 75216-5946
Mailing address
10333 Woodford Dr
Dallas, TX 75229-6316
Phone (214) 704-6778
Other providers in Dallas, TX
- Sally Dee Braun
- Stephanie Braun
- Colleen Ellen Braunitzer
- Allison Brautigam
- Brian Joseph Bravenec
- Bravo Dental
- Bravo Dental
- Bravo Smiles
- Bravo Smiles
- Bravo Smiles
All providers in Dallas, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.