BRACES ON THE BRAZOS PLLC
NPI 1205392263
Dentist - Orthodontics and Dentofacial Orthopedics in Granbury, TX

Active since February 14, 2019
1116 N MEADOWS DR, GRANBURY, TX 76048(817) 573-4746 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2023, Feb 14, 2019 (2 updates tracked since 2019).

About Braces On The Brazos Pllc NPPES

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

BRACES ON THE BRAZOS PLLC (NPI 1205392263) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Granbury, Texas and active in the NPI registry since February 2019. The organization lists Keith Lee Clark, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1205392263
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameBRACES ON THE BRAZOS PLLC
Location Address1116 N MEADOWS DRGranbury, TX 76048-1717
Mailing Address1116 N Meadows DrGranbury, TX 76048-1717 · (318) 455-1121
Organization SubpartNo
Authorized OfficialKeith Lee ClarkOrthodontist · (318) 455-1121
Enumeration DateFebruary 14, 2019
Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
NPI 1205392263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1116 N MEADOWS DR, Granbury, TX 76048

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist (Pediatric Dentistry)
1116 N MEADOWS DR
GRANBURY, TX 76048
Dentist (Orthodontics and Dentofacial Orthopedics)
1116 N MEADOWS DR
GRANBURY, TX 76048

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 Braces On The Brazos PLLC's NPI number?

The NPI number for Braces On The Brazos PLLC is 1205392263. It was assigned to this organization in the NPPES registry on February 14, 2019.

Where is Braces On The Brazos PLLC located?

Braces On The Brazos PLLC is located at 1116 N Meadows Dr, Granbury, TX 76048. The listed phone number is (817) 573-4746.

What is Braces On The Brazos PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Braces On The Brazos PLLC was last updated on March 2, 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.