| Doctor Name: | DR. JOHN H. CASE |
| NPI Number: | 1033102611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.D.S., M.S. |
| License Number: | 12102 |
| Business Practice Address: | 1326 Memorial Dr Bryan, TX - 778025215 |
| Business Phone Number: | 9797768100 |
| Business Fax Number: | 9797768123 |
| Mailing Address: | 1326 Memorial Dr, BRYAN |
| State: | TX |
| Postal Code: | 778025215 |
| Phone Number: | 9797768100 |
| Fax Number: | 9797768123 |
| NPI Enumeration Date: | 08/29/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/23/2006 |
| NPI Reactivation Date: | 04/03/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | 12102 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |