Ultrawhite Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ULTRAWHITE DENTAL PLLC

Doing business as

Ultra White Dental

Practice address

9727 Spring Green Blvd Ste 200
Katy, TX 77494-4141

Phone

(281) 697-5200

NPI assigned

Nov 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jimmy Pho, DDS

Title

President

Phone

(281) 697-5200

Specialties & licenses 1

Addresses

Other names 1

• Ultra White Dental Doing business as

Tax ID family

Ultra White Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ultrawhite Dental PLLC

  dba Ultra White Dental

  • Dental Clinic/Center
  • Katy, TX
  • NPI 1366259418
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1003630518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 SPRING GREEN BLVD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944141",
            "telephone_number": "281-697-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 SPRING GREEN BLVD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944141",
            "telephone_number": "281-697-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRAWHITE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "PHO",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-697-5200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultra White Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ultra White Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Ambo Ugwuzor, PHARM.D, PH.D
• Fredrick Uhlman, OTA
• Ifeoma Ukachukwu, NP
• Ult Psychiatry Services LLC
• Ultrasound-Services LLC (Ultrasound-Services)
• Ultrawhite Dental PLLC (Ultra White Dental)
• Joan Umadia
• Dalia Elizabeth Umana
• Mfon Umanah
• Umbrella Customs Packaging Inc

• Dental Clinic/Center in Katy, TX
• Providers in Katy, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.