NPIMap

Organization Active NPI

Atwood and Oliver Dental Partnership

  • General Practice Dentistry
  • Conroe, TX
National Provider Identifier
1255638243
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21852 Issued in TX
Legal business name
ATWOOD AND OLIVER DENTAL PARTNERSHIP
Practice address
2255 N Loop 336 W Ste C
Conroe, TX 77304-3632
Phone
(936) 539-9400
Fax
(936) 539-6337
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brianna Bush Oliver, DDSNPI 1962620989
Title
General Partner
Phone
(936) 539-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 21852 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 11570 TX

Addresses

Primary practice location

2255 N Loop 336 W Ste C
Conroe, TX 77304-3632

Mailing address

2255 N Loop 336 W Ste C
Conroe, TX 77304-3632
Phone (936) 539-9400

National Provider Directory

National Provider Directory

Locations

2255 N Loop 336 W
Ste C
Conroe, TX 77304
Phone (936) 539-9400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1255638243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 N LOOP 336 W STE C",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043632",
            "telephone_number": "936-539-9400",
            "fax_number": "936-539-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N LOOP 336 W STE C",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043632",
            "telephone_number": "936-539-9400",
            "fax_number": "936-539-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATWOOD AND OLIVER DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "BUSH",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "936-539-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21852",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.