Bluebonnet Pediatric Dentistry PLLC
Organization Active NPI Pediatric Dentistry · Brenham, TX
NPI 1114646676 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1114646676
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- BLUEBONNET PEDIATRIC DENTISTRY PLLC
- Practice address
- 2650 Becker Drive
Brenham, TX 77833 - Phone
- (979) 451-6026
- Fax
- (979) 246-0960
- NPI assigned
- Aug 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Jonathan Charles Ames, DDS
- Title
- Owner/Dentist
- Phone
- (801) 472-0837
Practitioners 1
National Provider Directory
Locations
2650 Becker Dr
Brenham, TX 77833
Phone (979) 451-6026
2600 Becker Dr
Ste 5
Brenham, TX 77833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
2650 Becker Drive
Brenham, TX 77833
Mailing address
2650 Becker Drive
Brenham, TX 77833
Phone (979) 451-6026
Other names
- Bluebonnet Pediatric Dentistry
Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. 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.