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Bravo Dental

Organization Active NPI General Practice Dentistry · Fort Worth, TX

NPI 1962294710 · NPPES record last updated May 19, 2025

Key facts

NPI
1962294710
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
BRAVO DENTAL
Practice address
3308 Deen Rd
Fort Worth, TX 76106-6524
Phone
(214) 884-9815
NPI assigned
May 19, 2025
Organization subpart
No

Authorized official

Name
Rita F. NE, D.D.S.,M.S
Title
Owner
Phone
(214) 704-6778

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Bravo Dental (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

3308 Deen Rd
Fort Worth, TX 76106-6524

Mailing address

4001 McEwen Rd Ste 408
Dallas, TX 75244-5054
Phone (214) 704-6778

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 19, 2025.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1962294710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MCEWEN RD STE 408",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445054",
            "telephone_number": "214-704-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 DEEN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761066524",
            "telephone_number": "214-884-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "NE",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-704-6778",
        "authorized_official_credential": "D.D.S.,M.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

All providers in Fort Worth, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.