| Brazos Valley Oral & Maxillofacial Surgery | |
|
1505 Emerald Plaza College Station TX 77845-1501 | |
| (979) 764-7101 | |
| (979) 764-7115 |
| Full Name | Brazos Valley Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 1505 Emerald Plaza, College Station, Texas |
| Authorized Official Name and Position | James Bryan Garrett (OWNER/SURGEON) |
| Authorized Official Contact | 9797647101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brazos Valley Oral & Maxillofacial Surgery 1505 Emerald Plaza College Station TX 77845-1501 Ph: (979) 764-7101 | Brazos Valley Oral & Maxillofacial Surgery 1505 Emerald Plaza College Station TX 77845-1501 Ph: (979) 764-7101 |
| NPI Number | 1194931303 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 01/02/2020 |
| Medicare PECOS PAC ID | 9638221658 |
|---|---|
| Medicare Enrollment ID | O20090722000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194931303 | NPI | - | NPPES |
| 813315 | Other | TN | UNITED CONCORDIA |
| Provider Name | James C Garrett |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1952397135 PECOS PAC ID: 7719039734 Enrollment ID: I20110208000665 |
| Provider Name | James Bryan Garrett |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1184910838 PECOS PAC ID: 6709041668 Enrollment ID: I20120627000824 |
| Provider Name | Garrett D Blundell |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1891044012 PECOS PAC ID: 1153564505 Enrollment ID: I20130904000182 |
| Provider Name | Charles C. Hanley |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1023322187 PECOS PAC ID: 2466677208 Enrollment ID: I20140710001127 |
| Provider Name | Brandon C Clyburn |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1619104759 PECOS PAC ID: 2567778772 Enrollment ID: I20190618001614 |
Shanna L. Williams Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 Emerald Plaza, College Station, TX 77845 Phone: 979-695-8029 | |
Southern Smiles, Family & Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1132 Midtown Drive, College Station, TX 77845 Phone: 979-846-7799 Fax: 979-326-1510 | |
College Station Dentistry And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11671 Fm 2154 Rd Ste 400, College Station, TX 77845 Phone: 979-221-2423 Fax: 979-221-2426 | |
College Station Modern Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 William D. Fitch Parkway, Suite 300, College Station, TX 77845 Phone: 979-690-7201 | |
Affordable Dentures & Implants - Texas, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Longmire Dr Ste 70, College Station, TX 77845 Phone: 979-977-0047 | |
Brazos Valley Dental Group, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 Rock Prairie Rd Ste 100, College Station, TX 77845 Phone: 979-695-8000 Fax: 979-314-9702 |