BRYAN ST DENTAL PLLC (NPI# 1659938132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659938132 |
| Entity Type | Organization |
| Organization Name | BRYAN ST DENTAL PLLC |
| Practice Address |
210 S Bryan Rd Ste 4 Mission TX 78572-6208 |
| Practice Telephone | 9565857677 |
| Practice Fax Number | 9565857627 |
| Mailing Telephone | 9565857677 |
| Mailing Fax Number | 9565857627 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | PATRICK WHILBY (OWNER/DENTIST) |
| Authorized Official Telephone | 9565835050 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
210 S BRYAN RD STE 4 |
| City | MISSION |
| State | TX |
| Zip Code | 78572-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676814 | Trinity Hospice Care, LLC. | Physical Therapist | 1713 W Griffin Pkwy., Ste. D, Mission, TX 78572 | 2020-07-22 |
| 1710528187 | Te Cuidamos, LLC | Home Health | 2205 N Inspiration Rd, Ste A, Mission, TX 78572 | 2019-10-07 |
| 1356806475 | Severo Esteban Saenz | Physical Therapist | 816 Travis St Apt E55, Mission, TX 78572 | 2019-02-02 |
| 1609352715 | Community First Home Health | Home Health | 1707 Merlin, Mission, TX 78572 | 2018-07-12 |
| 1831681279 | Yuriko Garcia | Physician Assistant | 910 S. Bryan Rd., Suite #105, Mission, TX 78572 | 2018-06-01 |
| 1982193918 | Dalinda Valdez | Registered Nurse | 1707 Merlin Dr, Mission, TX 78572 | 2018-05-04 |
| 1487152260 | Azul Homecare, LLC. | Technician | 2007 East Griffin Parkway, Ste. C, Mission, TX 78572 | 2018-01-26 |
| 1760998371 | J Bravo Medical Services | Clinic/Center | 2001 W 3 Mile Line Rd, 2400 & 2500, Mission, TX 78572 | 2017-12-18 |
| 1821528654 | Bit Na Lee | Dentist | 213 E Expy 83, Mission, TX 78572 | 2017-06-14 |
| 1568901957 | Ofelia Perez Hernandez Dds Pllc | Dentist | 8360 W. Expy 83, Mission, TX 78572 | 2017-02-17 |
| Find all providers in zip 78572 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860992 | Vequinox Pllc | Dentist | 2605 N Shary Rd, Mission, TX 78574-3221 | 2020-10-27 |
| 1134786627 | La Homa Family Dental Pllc | Dentist | 8305 N La Homa Rd Ste E, Mission, TX 78574-5469 | 2019-05-21 |
| 1881122455 | William Robert Keith | Dentist | 6299 Nall Ave Ste 200, Mission, KS 66202-3547 | 2017-05-26 |
| 1699149518 | Three Mile Dentistry, Pllc | Dentist | 1701 W Mile 3 Rd, Mission, TX 78573-4181 | 2015-11-16 |
| 1730555319 | Jun Sang Cho | Dentist | 4203 Santa Fe St, Mission, TX 78572-8599 | 2015-08-18 |
| 1912389206 | Kory Kirkegaard | Dentist | 5940 Lamar Ave, Mission, KS 66202-3231 | 2015-06-23 |
| 1992044176 | Steven Myoung-suk Lee | Dentist | 1609 N. Conway Ave, W. David Egger Dds Pa, Mission, TX 78572 | 2013-02-07 |
| 1831475300 | Zoo Dental, Pllc | Dentist | 2412 N Conway Ave, Mission, TX 78574-2347 | 2011-10-28 |
| 1992088579 | Healthy Smiles Pllc | Dentist | 1123 E 9th St, Suite 10-a, Mission, TX 78572-4404 | 2011-09-21 |
| 1962712059 | Texas Smiles Dental Center of Mission, Pllc | Dentist | 2413 E Expressway 83, Suite 100, Mission, TX 78572-1005 | 2010-10-07 |
| Find all providers in MISSION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.