Brush Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRUSH DENTAL PLLC

Practice address

5425 Highway 6
Missouri City, TX 77459-4387

Phone

(281) 261-8258

NPI assigned

Aug 22, 2021

Last updated

Aug 22, 2021By 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

Amine Kaddour-Djebbar, DDSNPI 1477082519

Title

President

Phone

(281) 310-0042

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Amine Kaddour-Djebbar

  • Dentist
  • Laredo, TX
  • NPI 1477082519
  NPD Authorized official

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629590400000",
    "number": "1609542323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 HIGHWAY 6 # 323",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 HIGHWAY 6",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594387",
            "telephone_number": "281-261-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A",
        "authorized_official_last_name": "KADDOUR-DJEBBAR",
        "authorized_official_first_name": "AMINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-310-0042",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brownstone Wellness Collective, LLC
• Erica Laine Bruce, LCSW-S
• Michelle K Brumley, MED, LPC
• Jatoya L Brunn, LMSW
• Brush & Floss Dental PLLC (Joy Dental)
• Bryant & Varner
• Edith Bryant-Hayes, R.N.
• Kiara Bryant
• Danielle Bryce
• Kaylee Bryson

• Dental Clinic/Center in Missouri City, TX
• Providers in Missouri City, 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 22, 2021; 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.