OrganizationActive
Your Houston Dentist
NPI 1003091604 · General Practice Dentistry · Houston, TX
Provider details
- NPI number
- 1003091604
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bradley Wilson, Owner(713) 789-1200
- License
- 8242 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2077 S Gessner Rd
Suite 125
Houston, TX 77063-1147
Phone: (713) 789-1200
Fax: (713) 789-1219
Street-level locationGet directions
Mailing address
2077 S Gessner Rd
Houston, TX 77063-1147
Registry dates
- Enumerated
- 2008-01-02
- Last updated
- 2008-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.