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KRISTINE DONNELLY D.D.S.
NPI 1104016344
Dentist - Pediatric Dentistry in Bryan, TX

Active since July 25, 2007
2510 S TEXAS AVE, BRYAN, TX 77802(979) 704-5245 Get Directions Write a Review

NPPES record last updated: September 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristine Donnelly D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE DONNELLY D.D.S. (NPI 1104016344) is an individual pediatric dentistry provider in Bryan, Texas, licensed in Texas (25239) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1104016344
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameKRISTINE DONNELLYCredential: D.D.S.
Location Address2510 S TEXAS AVEBryan, TX 77802-2329
Mailing Address125 Sw Military DrSan Antonio, TX 78221-1650 · (210) 922-3483 · Fax (210) 927-4975
Phone(979) 704-5245
Sole ProprietorNo
Enumeration DateJuly 25, 2007
Last NPPES UpdateSeptember 26, 2020
NPPES CertifiedSeptember 26, 2020
✔ NPI 1104016344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 25239
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2510 S TEXAS AVE, Bryan, TX 77802
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Other Identifiers 2

Medicaid379870403TX
Medicaid209944216TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN PEDIATRIC DENTISTRY
Dentist (Pediatric Dentistry)
2510 S TEXAS AVE
BRYAN, TX 77802
Brazos County (317) 903-9276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Donnelly's NPI number?

The NPI number for Kristine Donnelly is 1104016344. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Kristine Donnelly located?

Kristine Donnelly practices at 2510 S Texas Ave, Bryan, TX 77802. The listed phone number is (979) 704-5245.

What is Kristine Donnelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kristine Donnelly accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Kristine Donnelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristine Donnelly was last updated on September 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.