=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780535138
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | B AND M DENTAL PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/03/2026
-----------------------------------------------------
Last Update Date | 02/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 27487 W HIGHWAY 84
-----------------------------------------------------
City | MCGREGOR
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76657-3717
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-848-2722
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 27487 W HIGHWAY 84
-----------------------------------------------------
City | MCGREGOR
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76657-3717
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | STEPHANIE BRAND
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 254-848-2722
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------