| Bluebonnet Pediatric Dentistry | |
|
2650 Becker Drive Brenham TX 77833 | |
| (979) 451-6026 | |
| (979) 246-0960 |
| Full Name | Bluebonnet Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2650 Becker Drive, Brenham, Texas |
| Authorized Official Name and Position | Jonathan Charles Ames (OWNER/DENTIST) |
| Authorized Official Contact | 8014720837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebonnet Pediatric Dentistry 2650 Becker Drive Brenham TX 77833 Ph: (979) 451-6026 | Bluebonnet Pediatric Dentistry 2650 Becker Drive Brenham TX 77833 Ph: (979) 451-6026 |
| NPI Number | 1114646676 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114646676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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