Bear Branch Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

16515 Issued in TX

Legal business name

BEAR BRANCH FAMILY DENTISTRY

Practice address

30420 FM 2978 Rd
Suite 350
The Woodlands, TX 77354-6750

Phone

(281) 419-2327

Fax

(281) 257-1070

NPI assigned

Aug 13, 2012

Organization subpart

No

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

Authorized official

Name

Kelly M Leblanc, DDS, PC

Title

Owner/ Dentist

Phone

(281) 419-2327

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Virgilio Gutierrez, D.D.S.

  • Dentist
  • The Woodlands, TX
  • NPI 1356673669
  NPD (past)
• Wesley Urich, DDS

  • General Practice Dentistry
  • The Woodlands, TX
  • NPI 1760471858
  NPD (past)

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1275880924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30420 FM 2978 RD",
            "address_2": "SUITE 350",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773546750",
            "telephone_number": "281-419-2327",
            "fax_number": "281-257-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30420 FM 2978 RD",
            "address_2": "SUITE 350",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773546750",
            "telephone_number": "281-419-2327",
            "fax_number": "281-257-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR BRANCH FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "281-419-2327",
        "authorized_official_credential": "DDS, PC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "16515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davida A Baxter, O.D.
• Leilani Bayer, M.S., R.D.N., L.D.
• Baylor St. Luke'S Medical Group
• Shannon Esse Bazaldua, M.A., CCC-A
• BCH Neurotek LLC
• Laura Prehn Beattie, MS, CCC-SLP
• Debbie Beaty
• Beauty & Longevity, Inc.
• Norrie Yvonne Beck, LPC
• Karina Becker Esau

• Dental Clinic/Center in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.