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CUSTOM DENTAL OF BONHAM PLLC
NPI 1437795093
Clinic/Center - Dental in Bonham, TX

Active since November 19, 2019
2016 STATE HIGHWAY 121 N, BONHAM, TX 75418(903) 227-6576 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2021, Nov 19, 2019 (2 updates tracked since 2019).

About Custom Dental Of Bonham Pllc NPPES

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

CUSTOM DENTAL OF BONHAM PLLC (NPI 1437795093) is a healthcare organization registered as a dental in Bonham, Texas and active in the NPI registry since November 2019. The organization lists Bryce Gates, Dentist, as its authorized official.

NPPES Registry Identity

NPI1437795093
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCUSTOM DENTAL OF BONHAM PLLC
Location Address2016 STATE HIGHWAY 121 NBonham, TX 75418
Mailing Address2016 N State Highway 121Bonham, TX 75418-2339 · (214) 616-1574
Phone(903) 227-6576
Organization SubpartNo
Authorized OfficialBryce GatesDentist · (405) 227-6100
Enumeration DateNovember 19, 2019
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1437795093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2016 STATE HIGHWAY 121 N, Bonham, TX 75418
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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 Custom Dental Of Bonham PLLC's NPI number?

The NPI number for Custom Dental Of Bonham PLLC is 1437795093. It was assigned to this organization in the NPPES registry on November 19, 2019.

Where is Custom Dental Of Bonham PLLC located?

Custom Dental Of Bonham PLLC is located at 2016 State Highway 121 N, Bonham, TX 75418. The listed phone number is (903) 227-6576.

What is Custom Dental Of Bonham PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Custom Dental Of Bonham PLLC was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.