Organization · Type 2 NPI

Bluebonnet Pediatric Dentistry PLLC

Pediatric Dentistry · Brenham, TX

NPI number 1114646676 Active

Practice location

2650 Becker Drive
Brenham, TX 77833

Fax (979) 246-0960

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed
Dental Clinic/Center	261QD0000X	None listed

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.

Another provider at this address

Jonathan Charles Ames, DDSPediatric Dentistry Brenham, TX NPI 1003104977

NPI record

NPI: 1114646676
Entity type: Organization (Type 2)
Issued: Aug 26, 2022
Last updated: Aug 8, 2023
Status: Active

Other names

<unavail>
Bluebonnet Pediatric Dentistry · doing business as
Bluebonnet Pediatric Dentistry · doing business as

Authorized official

Dr. Jonathan Charles Ames, DDS
Owner/dentist
(801) 472-0837

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1114646676

Bluebonnet Pediatric Dentistry PLLC's National Provider Identifier is 1114646676, issued on Aug 26, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Brenham, TX. The record was last updated on Aug 8, 2023.