Provider Demographics
NPI:1598590176
Name:BROOKHOLLOW DENTAL PARTNERS PLLC
Entity type:Organization
Organization Name:BROOKHOLLOW DENTAL PARTNERS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONOVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:385-900-3335
Mailing Address - Street 1:12911 E 31ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74134-3208
Mailing Address - Country:US
Mailing Address - Phone:539-476-4994
Mailing Address - Fax:
Practice Address - Street 1:12911 E 31ST ST STE A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74134-3208
Practice Address - Country:US
Practice Address - Phone:539-476-4994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental