Gulfside Dental Bridge City PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26511 Issued in TX

Legal business name

GULFSIDE DENTAL BRIDGE CITY PLLC

Practice address

1860 Texas Ave
Bridge City, TX 77611-2808

Phone

(409) 735-8146

Fax

(409) 735-2167

NPI assigned

Apr 9, 2018

Last updated

Jan 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yooshun Chung, DMD

  • Student in an Organized Health Care Education/Training Program
  • Bridge City, TX
  • NPI 1407144363
  NPD (past)
• Duyen Ho, DDS

  • General Practice Dentistry
  • Bridge City, TX
  • NPI 1427463751
  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1255838082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112808",
            "telephone_number": "409-735-8146",
            "fax_number": "409-735-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSIDE DENTAL BRIDGE CITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Zoch DDS
• Benjamin Joseph Garcia, APRN
• Samantha Ray Gaudet, D.D.S.
• Golden Triangle Family Care Center
• Golden Triangle First Assisting, PLLC
• John Gustav Hackbarth Jr., DDS
• Jill Hazlip Freeman, LPC
• Duyen Ho, DDS
• Hometown Therapy, PLLC
• Audrey Soileau Huddleston

• General Practice Dentistry in Bridge City, TX
• Providers in Bridge City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.