Prodent Group, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRODENT GROUP, PA

Practice address

8518 Jensen Dr
Houston, TX 77093-7510

Phone

(713) 697-8998

Fax

(713) 697-8980

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yen Kieu Cung, DMD

Title

Vice President

Phone

(713) 697-8998

Specialties & licenses 1

Addresses

Other names 1

• Berry Dental Care Doing business as

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033314836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8518 JENSEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770937510",
            "telephone_number": "713-697-8998",
            "fax_number": "713-697-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8518 JENSEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770937510",
            "telephone_number": "713-697-8998",
            "fax_number": "713-697-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODENT GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUNG",
        "authorized_official_first_name": "YEN",
        "authorized_official_middle_name": "KIEU",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "713-697-8998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berry Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.