Active NPI
Willis Pediatric Dentistry
- Pediatric Dentistry
- Willis, TX
National Provider Identifier
1093695728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sumedha Sharma, DMD, MSD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 DirectoryLocations
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.
-
- Pediatric Dentistry
- Conroe, TX
- NPI 1568861052
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.