OrganizationActive
Bluebonnet Pediatric Dentistry PLLC
NPI 1114646676 · Pediatric Dentistry · Brenham, TX
Provider details
- NPI number
- 1114646676
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Ames, Owner/Dentist(801) 472-0837
Specialties & taxonomies
Dental Providers
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2650 Becker Drive
Brenham, TX 77833
Phone: (979) 451-6026
Fax: (979) 246-0960
Street-level locationGet directions
Mailing address
2650 Becker Drive
Brenham, TX 77833
Other names (DBA / former)
- Doing business as
- Bluebonnet Pediatric Dentistry
- Doing business as
- Bluebonnet Pediatric Dentistry
Registry dates
- Enumerated
- 2022-08-26
- Last updated
- 2023-08-08
- Certified
- 2023-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.