BRAVO FAMILY DENTISTRY – NPI #1831767383
Clinic/Center

BRAVO FAMILY DENTISTRY is an AHC clinic located in KYLE, TX. NPPES has assigned the NPI number 1831767383 to BRAVO FAMILY DENTISTRY on June 11, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRAVO FAMILY DENTISTRY” is a dba name, the actual legal business name for this organization is DEKOW DENTAL, PLLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 5 years ago on Sep 29, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRAVO FAMILY DENTISTRY below.

NPI Profile for
DEKOW DENTAL, PLLC

NPI Number
1831767383
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEKOW DENTAL, PLLC
Doing Business As (dba): BRAVO FAMILY DENTISTRY
Primary location
4460 FM 1626 STE 200
KYLE, TX 78640
Phone: (512) 537-4892 Fax:
Mailing address
4460 FM 1626
SUITE 200
KYLE, TX 78640
Phone: (512) 537-4892 Fax:
Organization Subpart
No
Authorized Official
MATTHEW DEKOW
DENTIST
Phone: (512) 537-4892
Updated
Certification Date
Sep 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.