Brident Dental Associates PC
Dentist in Dallas, TX. Organization (NPI-2).
NPI number1154895035
StatusActive
Last updated in NPPESJan 14, 2019
Details
- NPI
- 1154895035
- Entity type
- Organization (NPI-2)
- Legal business name
- Brident Dental Associates PC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2019
- Last updated
- Jan 14, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
8928 E R L Thornton Fwy Ste 106Dallas, TX 75228-6173
Phone 214-389-9858 · Fax 214-389-9862
Mailing address
530 S Main St Ste 600Orange, CA 92868-4544
Phone 714-480-3000 · Fax 714-571-6445
Authorized official
Maribel Zamora
Enrollment Coordinator
7145713104
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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