Trinity Conroe Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21047 Issued in TX

Legal business name

TRINITY CONROE DENTAL PLLC

Doing business as

Trinity Dental

Practice address

1304 W Davis St Ste a
Conroe, TX 77304-2338

Phone

(832) 474-5406

NPI assigned

Oct 23, 2017

Last updated

Feb 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amjad Ajaz Sheikh, DDS

Title

President / Owner

Phone

(281) 781-6009

Specialties & licenses 2

Addresses

Other names 1

• Trinity Dental Doing business as

Locations

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1063923654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N SAM HOUSTON PKWY E STE 565",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604021",
            "telephone_number": "832-474-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W DAVIS ST STE A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042338",
            "telephone_number": "832-474-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CONROE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "AJAZ",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "281-781-6009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21047",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Conroe, TX
• Providers in Conroe, 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 Feb 9, 2021; 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.