BLUE DENTAL PLLC (NPI# 1770954174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770954174 |
| Entity Type | Organization |
| Organization Name | BLUE DENTAL PLLC |
| Other Organization Name | AGUA DENTAL |
| Practice Address |
2155 Ruben Torres Blvd Suite 4 Brownsville TX 78526 |
| Mailing Address |
307 E University Dr Edinburg TX 78539-3549 |
| Practice Telephone | 9563802482 |
| Mailing Telephone | 9563802482 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | SHAHROUZ AKHAVAN (MANAGER) |
| Authorized Official Telephone | 9563802482 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 25304 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DENTAL LICENSE NUMBER | 25304 | 01 |
| Other Name | Type Code |
|---|---|
| Agua Dental | Doing Business As Name - Organization |
| Street Address |
2155 RUBEN TORRES BLVD SUITE 4 |
| City | BROWNSVILLE |
| State | TX |
| Zip Code | 78526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938472 | Eva Gabriela Gonzalez | Speech-Language Pathologist | 1900, 77 N Expy, Suite K, Brownsville, TX 78526 | 2020-07-01 |
| 1598390395 | Miguel Angel Segura | Physical Therapy Assistant | 1900, 77 N Expy Suit K, Brownsville, TX 78526 | 2020-03-12 |
| 1013553072 | Michaela Christine Arteaga | Specialist/Technologist | 15151 Mission Bend Drive, Brownsville, TX 78526 | 2019-11-25 |
| 1871147975 | Madeline Jules Rodriguez | Dentist | 2155 Ruben M Torres Blvd, Suite 4, Brownsville, TX 78526 | 2019-07-26 |
| 1194381616 | Ben Medelez IIi | Physical Therapy Assistant | 4920 N. Expressway 77, Ste C, Brownsville, TX 78526 | 2019-05-10 |
| 1700368297 | Hasayali Mejia | Occupational Therapy Assistant | 4920 N Expressway 77, Suite C, Brownsville, TX 78526 | 2018-08-31 |
| 1801381983 | J&m Home Health LLC | Home Health | 183 Kleberg Avenue, Brownsville, TX 78526 | 2018-06-29 |
| 1407346158 | Ignite Physical Therapy | Clinic/Center | 1805 Ruben Torres Blvd, Brownsville, TX 78526 | 2018-05-17 |
| 1982192001 | Uvalde County Hospital Authority | Skilled Nursing Facility | 310 America Dr, Brownsville, TX 78526 | 2018-04-24 |
| 1821597212 | Metx, LLC | Audiologist-Hearing Aid Fitter | 3000 Pablo Kisel Blvd Ste 300c, Brownsville, TX 78526 | 2018-02-12 |
| Find all providers in zip 78526 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871147975 | Madeline Jules Rodriguez | Dentist | 2155 Ruben M Torres Blvd, Suite 4, Brownsville, TX 78526 | 2019-07-26 |
| 1184076317 | Ruben Torres Dental, Pllc | Dentist | 2155 Ruben M. Torres Sr Boulevard, Unit 4, Brownsville, TX 78526 | 2016-07-12 |
| 1982089256 | Tropics Dental Pllc | Dentist | 1873 Boca Chica Blvd, Brownsville, TX 78520-8142 | 2015-07-28 |
| 1669857306 | Nayeli Reyes Arias | Dentist | 205 Calle Amistosa Apt 142, Brownsville, TX 78520-4157 | 2015-07-23 |
| 1447676291 | Soumava Sen, Dds, P.C. | Dentist | 2960 Boca Chica Blvd, Brownsville, TX 78521-3506 | 2014-03-17 |
| 1740603927 | All Valley Smiles LLC | Dentist | 5850 Fm 802 Ste C3, Brownsville, TX 78526-5206 | 2014-01-24 |
| 1346682689 | Alvaro Cantu Garza | Dentist | 1113 Central Blvd Ste A, Brownsville, TX 78520-7532 | 2013-07-29 |
| 1649551524 | Brownsville Dental Associates | Dentist | 3675 Boca Chica Blvd Suite: A, Brownsville, TX 78521 | 2011-09-06 |
| 1558656801 | Oziel Ignacio Davila Robles | Dentist | 1905 Illinois Ave N Ste 120, Brownsville, TX 78521-6732 | 2011-06-15 |
| 1598065872 | Rodeo Dental Central Pllc | Dentist | 1634 Central Blvd, Brownsville, TX 78520-8337 | 2010-11-02 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 78526 |
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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.