# BCGG PLLC

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

## Provider details

- **NPI number:** 1679068290
- **Authorized official:** DR. BRITTANY GRADY DDS (GENERAL DENTIST/PRACTICE OWNER)
- **Authorized official phone:** (317) 418-7511

## Contact information

- **Practice address:** 19787 W IH 10 STE 204, SAN ANTONIO, TX 78257-1695
- **Practice address phone:** (317) 418-7511
- **Mailing address:** 8231 MYSTIC CHASE, BOERNE, TX 78015-6578
- **Mailing address phone:** (317) 418-7511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 31446 | TX | Yes |

## Other

- **Enumeration date:** 06/26/2018
- **Last updated:** 06/26/2018