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BRYAN PEDIATRIC DENTISTRY PC
NPI 1891219499
Dentist - Pediatric Dentistry in Bryan, TX

Active since July 26, 2017
2510 S TEXAS AVE, BRYAN, TX 77802(317) 903-9276 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2024, Jul 26, 2017 (2 updates tracked since 2017).

About Bryan Pediatric Dentistry Pc NPPES

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

BRYAN PEDIATRIC DENTISTRY PC (NPI 1891219499) is a healthcare organization registered as a pediatric dentistry in Bryan, Texas and active in the NPI registry since July 2017. The organization lists Kristine Donnelly, Owner, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1891219499
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBRYAN PEDIATRIC DENTISTRY
Location Address2510 S TEXAS AVEBryan, TX 77802-2329
Mailing Address1709 Glade StCollege Station, TX 77840-4341 · (317) 903-9276
Phone(317) 903-9276
Organization SubpartNo
Authorized OfficialKristine DonnellyOwner, Pediatric Dentist · (979) 703-2893
Enumeration DateJuly 26, 2017
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1891219499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2510 S TEXAS AVE, Bryan, TX 77802
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Other Names 1

Other NameBryan Pediatric Dentistry Pc

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

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

KRISTINE DONNELLY D.D.S.
Dentist (Pediatric Dentistry)
2510 S TEXAS AVE
BRYAN, TX 77802
Brazos County (979) 704-5245

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 Bryan Pediatric Dentistry's NPI number?

The NPI number for Bryan Pediatric Dentistry is 1891219499. It was assigned to this organization in the NPPES registry on July 26, 2017. The provider is also known as Bryan Pediatric Dentistry PC.

Where is Bryan Pediatric Dentistry located?

Bryan Pediatric Dentistry is located at 2510 S Texas Ave, Bryan, TX 77802. The listed phone number is (317) 903-9276.

What is Bryan Pediatric Dentistry'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 Bryan Pediatric Dentistry was last updated on June 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.