# DENTAL SPECIALISTS OF TOMBALL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Specialists of Tomball
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003205485
- **Authorized official:** MR. BRAD BOWSHER (GENERAL MANAGER)
- **Authorized official phone:** (281) 351-0005

## Contact information

- **Practice address:** 1123 ALMA ST, TOMBALL, TX 77375-4518
- **Practice address phone:** (281) 351-2200
- **Mailing address:** 1123 ALMA ST, TOMBALL, TX 77375-4518
- **Mailing address phone:** (281) 351-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 19953 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 21280 | TX | Yes |

## Other

- **Enumeration date:** 01/22/2015
- **Last updated:** 01/22/2015