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Jerod Brazeal, Dds, Pllc
Pediatric Dentist in Benbrook, Texas
NPI 1538660949

Jerod Brazeal, Dds, Pllc is a Pediatric Dentist based in Benbrook, TX and is specialized in Pediatric Dentistry. Jerod Brazeal, Dds, Pllc practices in Benbrook, TX. The NPI Number for Jerod Brazeal, Dds, Pllc is 1538660949 and holds a License No. 27094 (Texas).

The current practice location address for Jerod Brazeal, Dds, Pllc is 4200 Bryant Irvin Rd Ste 129, Benbrook, TX and can be reached out via phone at 817-731-6964 and via fax at 817-731-4273.

Location: 4200 Bryant Irvin Rd Ste 129, Benbrook, TX, 76109-4212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538660949
Provider Name
Jerod Brazeal, Dds, Pllc
Credential
Provider Entity Type
Organization
Address
4200 Bryant Irvin Rd Ste 129, Benbrook, TX, 76109-4212
Phone Number
817-731-6964
Fax Number
817-731-4273
Provider Enumeration Date
02/22/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2835811 05 TX
institution
Provider Business Practice Location Address Details
Address
4200 Bryant Irvin Rd Ste 129
City
Benbrook
State
Texas
Zip
76109-4212
Phone Number
817-731-6964
Fax Number
817-731-4273
person
Provider Business Mailing Address Details
Address
4200 Bryant Irvin Rd Ste 129
City
Benbrook
State
Texas
Zip
76109-4212
Phone Number
817-731-6964
Fax Number
817-731-4273
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
27094 (Texas)
Definition
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.
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