Kristine Donnelly is a Bryan, Texas based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kristine Donnelly is 25239 for Pediatric Dentistry in Texas. Her current practice location is 2510 S Texas Ave, Bryan. Patients can reach her at 979-704-5245.
Kristine Donnelly provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Kristine Donnelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kristine Donnelly
Specialization:
Pediatric Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
2510 S Texas Ave, Bryan, Texas, 77802-2329
Phone:
979-704-5245
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1104016344
NPI Enumeration Date:
25 Jul, 2007
NPI Last Update On:
26 Sep, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristine Donnelly are as mentioned below.
License Number
Specialization
State
Status
25239
Pediatric Dentistry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kristine Donnelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
209944216
Medicaid
Texas
379870403
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
125 Sw Military Dr, San Antonio, Texas
Zip:
78221-1650
Phone Number:
210-922-3483
Fax Number:
210-927-4975
Patients can reach Kristine Donnelly at 2510 S Texas Ave, Bryan, Texas or can call to book an appointment on 979-704-5245. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.