Texas Dental Sleep Services Pllc

NPI #1407617350 in Bryan, Texas

Provider Information

NPI Number: 1407617350
Entity Type: Organization
Organization Name: Texas Dental Sleep Services Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: TEXAS DENTAL SLEEP SERVICES PLLC
Primary Specialty: Dentist
Enumeration Date: Jan 18, 2024
Last Updated: Jun 19, 2024

Practice Location

Address: 1719 BROADMOOR DRIVE
City: Bryan
State: Texas
ZIP Code: 77802
Phone: (512) 338-8120

Authorized Official

Name: ERIC NORTHEY, MR.
Title: CHIEF EXECUTIVE OFFICER (CEO)
Phone: (833) 275-3372

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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