Provider Demographics
NPI:1518001346
Name:MCBRIDE, BERVIS B III (DDS)
Entity type:Individual
Prefix:
First Name:BERVIS
Middle Name:B
Last Name:MCBRIDE
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 FM 2234
Mailing Address - Street 2:SUITE 262
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489
Mailing Address - Country:US
Mailing Address - Phone:281-499-2327
Mailing Address - Fax:281-208-3259
Practice Address - Street 1:2440 FM 2234
Practice Address - Street 2:SUITE 262
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489
Practice Address - Country:US
Practice Address - Phone:281-499-2327
Practice Address - Fax:281-208-3259
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15434122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist