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Export Provider Record NPI 1053781039
Brett Potter Dmd Pllc
Organization Subpart: NO
Active
NPI Number1053781039
NPI TypeNPI-2 Organization
SpecialtyDentist, Endodontics
Provider Details
NPI1053781039
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2015-10-02
Last Updated2015-10-02
Authorized OfficialBrett Potter
Owner
Phone: 2162628560
Mailing Address103 Professional Park Dr
Victoria, TX 77904-2351
United States
Phone: (361) 576-1235
📍 View Map
Primary Practice Address103 Professional Park Dr
Victoria, TX 77904-2351
United States
Phone: (361) 576-1235
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223E0200X – Dentist, Endodontics
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About NPI 1053781039

Brett Potter Dmd Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053781039. The primary specialty listed is Dentist, Endodontics. The organization is located in Victoria, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-10-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053781039?

NPI 1053781039 belongs to Brett Potter Dmd Pllc, a Dentist, Endodontics in Victoria, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053781039 active?

The current status of NPI 1053781039 in the NPPES registry is Active. The record was last updated on 2015-10-02.

What specialty is NPI 1053781039?

NPI 1053781039 is classified under the taxonomy Dentist, Endodontics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053781039?

You can verify NPI 1053781039 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053781039?

The primary practice address on file for NPI 1053781039 is 103 Professional Park Dr, Victoria, TX 77904-2351. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053781039 issued?

NPI 1053781039 was first issued (enumerated) on 2015-10-02. The NPPES record was last updated on 2015-10-02.

Practice Location Map

Brett Potter Dmd Pllc is located at 103 Professional Park Dr, Victoria, TX. Use the map below to find directions or verify the practice location.

📍 103 Professional Park Dr, Victoria, TX 77904-2351  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Brett Potter Dmd Pllc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162