BLUEBONNET PEDIATRIC DENTISTRY
NPI 1114646676
Dentist - Pediatric Dentistry in Brenham, TX

Active since August 26, 2022
2650 BECKER DRIVE, BRENHAM, TX 77833(979) 451-6026(979) 246-0960 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2023, Mar 21, 2023, Mar 10, 2023 and 1 more (4 updates tracked since 2022).

About Bluebonnet Pediatric Dentistry NPPES

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

BLUEBONNET PEDIATRIC DENTISTRY (NPI 1114646676) is a healthcare organization registered as a pediatric dentistry in Brenham, Texas and active in the NPI registry since August 2022. The organization lists Jonathan Charles Ames, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1114646676
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBLUEBONNET PEDIATRIC DENTISTRY PLLC
Location Address2650 BECKER DRIVEBrenham, TX 77833
Mailing Address2650 Becker DriveBrenham, TX 77833 · (979) 451-6026 · Fax (979) 246-0960
Fax(979) 246-0960
Organization SubpartNo
Authorized OfficialJonathan Charles AmesOwner/dentist · (801) 472-0837
Enumeration DateAugust 26, 2022
Last NPPES UpdateAugust 8, 20234 updates tracked since enumeration
NPPES CertifiedAugust 5, 2023
NPI 1114646676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
2650 BECKER DRIVE, Brenham, TX 77833

Other Names 1

Doing Business AsBluebonnet Pediatric Dentistry

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
2650 BECKER DRIVE
BRENHAM, TX 77833

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 Bluebonnet Pediatric Dentistry PLLC's NPI number?

The NPI number for Bluebonnet Pediatric Dentistry PLLC is 1114646676. It was assigned to this organization in the NPPES registry on August 26, 2022. The provider is doing business as Bluebonnet Pediatric Dentistry.

Where is Bluebonnet Pediatric Dentistry PLLC located?

Bluebonnet Pediatric Dentistry PLLC is located at 2650 Becker Drive, Brenham, TX 77833. The listed phone number is (979) 451-6026.

What is Bluebonnet Pediatric Dentistry PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bluebonnet Pediatric Dentistry PLLC was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.