Bryan St Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRYAN ST DENTAL PLLC

Practice address

210 S Bryan Rd Ste 4
Mission, TX 78572-6208

Phone

(956) 585-7677

Fax

(956) 585-7627

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Patrick Whilby, DDS

Title

Owner/Dentist

Phone

(956) 583-5050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1659938132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S BRYAN RD STE 4",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726208",
            "telephone_number": "956-585-7677",
            "fax_number": "956-585-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S BRYAN RD STE 4",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726208",
            "telephone_number": "956-585-7677",
            "fax_number": "956-585-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN ST DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "WHILBY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "956-583-5050",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgepoint Therapy Services LLC
• Bright Therapy Solutions, LLC
• Sonia Alicia Briones, PTA
• Brooker LLC
• Bryan Road Dentistry
• Shelley Lynn Bryant, MSN, NPC, WHC, ANP
• Lizzette Yohana Burger
• Sylvia M Bustamante, PA
• Fenold Byron
• C&H Contractors

• General Practice Dentistry in Mission, TX
• Providers in Mission, 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 May 21, 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.