DENTAL PROVIDER RESOURCES 5, PLLC


Address: 26219 Interstate 45, The Woodlands, TX 77380-1903
Phone: 8173286150

DENTAL PROVIDER RESOURCES 5, PLLC (NPI# 1023350212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023350212
Entity Type Organization
Organization Name DENTAL PROVIDER RESOURCES 5, PLLC
Other Organization Name WATERWAY DENTAL CARE
Practice Address 26219 Interstate 45
The Woodlands
TX 77380-1903
Mailing Address 1000 Texan Trl
Ste 229
Grapevine
TX 76051-3776
Practice Telephone 8173286150
Mailing Telephone 8173286150
Enumeration Date 2013-03-26
Last Update Date 2013-04-01
Authorized Official Name DR. JARED BRUGGEMAN (OWNER/DOCTOR)
Authorized Official Telephone 8173286153
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Waterway Dental Care Doing Business As Name - Organization

Office Location

Street Address 26219 INTERSTATE 45
City THE WOODLANDS
State TX
Zip Code 77380-1903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407071079 Willie Rodriguez Gonzales Jr. Dentist 26219 Interstate 45, The Woodlands, TX 77380-1903 2007-04-17
1770145823 Happy Sapiens Dental Pllc Dentist 26219 Interstate 45, The Woodlands, TX 77380-1903 2019-06-28
1285180653 Sri Aravind Thatikonda Dentist 26219 Interstate 45, The Woodlands, TX 77380-1903 2016-08-26
1639568207 Waterway Ldp Pllc Dentist 26219 Interstate 45, The Woodlands, TX 77380-1903 2015-01-20
1891926192 Willie R Gonzales Jr Dds PC Dentist 26219 Interstate 45, The Woodlands, TX 77380-1903 2009-08-04

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NPI Name Taxonomy Address Enumeration
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1588139851 Sara Barchie Dietitian, Registered 26113 Oak Ridge Drive, Suite A, The Woodlands, TX 77380 2018-10-12
1730664988 Global Bionics, LLC Durable Medical Equipment & Medical Supplies 1001 Medical Loop, Ste 220, Spring, TX 77380 2018-10-03
1104309350 Kristina Nicole Zills Psychologist 26205 Oak Ridge Dr. Suite 103, The Woodlands, TX 77380 2018-09-13
1972094365 Southern Texas Allergy The Woodlands Allergy & Immunology 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 2018-05-22
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1821517103 Catalyst Medical Suites, LLC Clinic/Center 1544 Sawdust Rd Ste 280, Spring, TX 77380 2017-09-18
1114440898 Elanor Sung Massage Therapist 26103 I 45, Ste 102, The Woodlands, TX 77380 2017-07-25
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Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750921227 Kimberly C Andersen Dds Dentist 6704 Sterling Ridge Dr Ste G, The Woodlands, TX 77382-2329 2020-01-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982221032 Girish Suresh Shelke Dentist 7703 Floyd Curl Dr # 2.539u, San Antonio, TX 78229-3901 2020-07-05
1386289767 Nazgol Gharbi Dentist 5310 Burnet Rd Ste 108, Austin, TX 78756-2061 2019-11-09
1841845989 Ensy Ann Atarod Dentist 1303 San Antonio St Ste 500, Austin, TX 78701-0025 2019-08-06
1073177531 Kendall Dds Pllc Dentist 2124 S Donnybrook Ave, Tyler, TX 75701-4239 2019-04-30
1093272932 Dental Smiles Dentist 1201 Barbara Jordan Blvd Ste 1435, Austin, TX 78723-3099 2019-02-27
1790240794 Jamboree Dentistry Vi Pllc Dentist 6715 Bissonnet St, Houston, TX 77074-6129 2019-02-04
1083198311 Husain Kapadia Dentist 14041 Grant Rd Ste 110, Cypress, TX 77429-0041 2018-09-21
1679076848 Northside Health Center Dentist 8504 Schuller, Houston, TX 77093 2018-03-14
1093218257 Sharpstown Health Clinic Dentist 6201 Bohomme Rd, 3rd Floor, Houston, TX 77036 2018-03-14
1700389962 La Nueva Casa De Amigos Dentist 1809 N Main Street, Houston, TX 77009 2018-03-14
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Competitor

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City THE WOODLANDS
Zip Code 77380

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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