Your Houston Dentist in Houston - General Practice
Your Houston Dentist - NPI 1003091604
Your Houston Dentist is a General Practice in Houston, Texas. Your Houston Dentist practices all healthcare services and medical treatments related to General Practice. The NPI Number for Your Houston Dentist is 1003091604. The last update date is 2008-01-23.
Your Houston Dentist's current location address is 2077 S Gessner Rd, Houston, Texas. You can contact this provider via phone number 7137891200 and fax number 7137891219. The mailing address for Your Houston Dentist is 2077 S Gessner Rd, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Your Houston Dentist |
|---|---|
| Address | 2077 S Gessner Rd, Houston, Texas |
| Phone Number | 7137891200 |
| Fax Number | 7137891219 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wilson Rix Bradley |
| Credentials | DDS, MSD |
| Telephone Number | 7137891200 |
NPI Number Detail
| NPI Number | 1003091604 |
|---|---|
| Provider Enumeration Date | 2008-01-02 |
| Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
| Address | 2077 S Gessner Rd |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770631147 |
| Phone Number | 7137891200 |
| Fax Number | 7137891219 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8242 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1053329185 | TX | NPI TYPE 1 |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Your Houston Dentist by the Centers for Medicare & Medicaid Services?
The Your Houston Dentist has been assigned the NPI (National Provider Identifier) 1003091604 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Your Houston Dentist located?
The Your Houston Dentist is located at 2077 S Gessner Rd, Houston, TX 770631147.
What is the area of specialization for Your Houston Dentist, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Your Houston Dentist is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003091604 to Your Houston Dentist?
The Centers for Medicare & Medicaid Services originally issued the 1003091604 to Your Houston Dentist on 2008-01-02.
When was the information pertaining to Your Houston Dentist most recently updated or revised?
The details related to Your Houston Dentist, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-23.