BRAVO DENTAL CLINICS PA NPI 1740400126

NPI Information

  • NPI: 1740400126
  • Provider Name: BRAVO DENTAL CLINICS PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Former Legal Business Name: BRAVO DENTAL CLINICS PA
  • Address: 779 NORMANDY ST STE 113
    HOUSTON, TX
    ZIP 77015
  • Phone: (713) 453-3733

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NPI Details

BRAVO DENTAL CLINICS PA is a general practice dentist in Houston, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BRAVO DENTAL CLINICS PA NPI is 1740400126. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Bravo Dental Clinics Pa.

The provider's business location address is:

779 NORMANDY ST STE 113
HOUSTON, TX
ZIP 77015-441
Phone: (713) 453-3733
Fax: (713) 453-3446

The provider's authorized official is Fh Farzam .
The authorized official title is Dentist and has the following contact phone number (713) 453-3733.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 8/22/2020.

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
11223G0001XDentistGeneral Practice19027TEXASNo
21223G0001XDentistGeneral Practice18688TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G600671OTHERTEXASCHIPS

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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