# ACADEMY GROUP DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588995286
- **Authorized official:** DR. HEATHER BRYANT DDS (PRESIDENT)
- **Authorized official phone:** (281) 999-6500

## Contact information

- **Practice address:** 11218 AIRLINE DR, HOUSTON, TX 77037-1116
- **Practice address phone:** (281) 999-6500
- **Practice address fax:** (281) 999-6504
- **Mailing address:** 11218 AIRLINE DR, HOUSTON, TX 77037-1116
- **Mailing address phone:** (281) 999-6500
- **Mailing address fax:** (281) 999-6504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22518 | TX | Yes |
| 1223G0001X | General Practice Dentistry | 22518 | TX | — |

## Other

- **Enumeration date:** 01/19/2010
- **Last updated:** 01/19/2010