Individual provider · Type 1 NPI

Kristine Donnelly, DDS

Pediatric Dentistry · Bryan, TX

NPI number 1104016344 Active

Practice location

2510 S Texas Ave
Bryan, TX 77802-2329

Mailing address

125 SW Military Dr
San Antonio, TX 78221-1650

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X25239 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1104016344

Kristine Donnelly, DDS's National Provider Identifier is 1104016344, issued on Jul 25, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bryan, TX. The record was last updated on Sep 26, 2020.