Organization Active NPI

Willis Pediatric Dentistry

  • Pediatric Dentistry
  • Willis, TX
National Provider Identifier
1093695728
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WILLIS PEDIATRIC DENTISTRY
Practice address
902 W Montgomery St Ste a
Willis, TX 77378-5608
Phone
(412) 339-4441
NPI assigned
Sep 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Dr. Sumedha Sharma, DMD, MSDNPI 1568861052
Title
Pediatric Dentist
Phone
(412) 339-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

902 W Montgomery St Ste a
Willis, TX 77378-5608

Mailing address

34 Mosaic Point PL
The Woodlands, TX 77389-7599
Phone (412) 339-4441

National Provider Directory

National Provider Directory

Locations

902 W Montgomery St
Ste A
Willis, TX 77378
Phone (412) 339-4441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1093695728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MOSAIC POINT PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773897599",
            "telephone_number": "412-339-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W MONTGOMERY ST STE A",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773785608",
            "telephone_number": "412-339-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SUMEDHA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "412-339-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.