1831767383 NPI number — DEKOW DENTAL, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831767383 NPI number — DEKOW DENTAL, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEKOW DENTAL, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BRAVO FAMILY DENTISTRY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831767383
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4460 FM 1626
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
KYLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78640
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-537-4892
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4460 FM 1626 STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KYLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-537-4892
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DEKOW
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
Authorized Official Title or Position:
DENTIST
Authorized Official Telephone Number:
512-537-4892

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)