BRILLIANT DENTAL CARE NPI 1417322637

NPI Information

  • NPI: 1417322637
  • Provider Name: BRILLIANT DENTAL CARE
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 4000 WASHINGTON AVE
    STE 201
    HOUSTON, TX
    ZIP 77007
  • Phone: (713) 839-0900

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NPI Details

BRILLIANT DENTAL CARE is a dental clinic center in Houston, TX. BRILLIANT DENTAL CARE NPI is 1417322637. The provider is registered as an organization entity type.

The provider's business location address is:

4000 WASHINGTON AVE
STE 201
HOUSTON, TX
ZIP 77007-673
Phone: (713) 839-0900

The provider's authorized official is Kevin M Freeman .
The authorized official title is Dds/owner and has the following contact phone number (713) 839-0900.

The enumeration date for this NPI number is 12/14/2015 and was last updated on 12/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental19679TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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