Provider Demographics
NPI:1689463119
Name:GRANGER PINES DENTAL PLLC
Entity type:Organization
Organization Name:GRANGER PINES DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BRETT
Authorized Official - Last Name:BESSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-630-7431
Mailing Address - Street 1:17160 BECKER RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-1710
Mailing Address - Country:US
Mailing Address - Phone:346-800-7110
Mailing Address - Fax:
Practice Address - Street 1:16980 FM 3083 RD STE 120
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-5101
Practice Address - Country:US
Practice Address - Phone:281-630-7421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty