Bridge City Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIDGE CITY FAMILY DENTISTRY, PLLC

Practice address

2525 Texas Ave
Bridge City, TX 77611-2847

Phone

(409) 735-7109

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Dallin Gomez

Title

Owner

Phone

(409) 735-7109

Specialties & licenses 1

Addresses

Other names 1

• Bridge City Family Dentistry Doing business as

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1649816604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "409-735-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 TEXAS AVE",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776112847",
            "telephone_number": "409-735-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE CITY FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "DALLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-735-7109",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge City Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greydon G Baldwin Jr., R.PH.
• Scott Ballard, DC DCTX6517
• Lisa Beck
• Kelly Melissa Bock, NP-C
• Brytni Nicole Borel, AUD.
• Bridge City Isd
• Bridge City Occupational Rehabilitation and Pain Management, Inc.
• Bridge City Pharmacy LLC
• Cardinal Chiropractic
• Henok Chichiso

• 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 Nov 25, 2019; 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.